| S자결장경으로 진단된 S자결장의 장중첩증 1예 |
| 정의종ㆍ하병욱ㆍ서영탁ㆍ함영환ㆍ김미진ㆍ문태건ㆍ배상수ㆍ주형준 |
| 홍익병원 소화기내과 |
| A Case of Sigmoid Intussusception Diagnosed by Sigmoidoscopy |
| Eui Jong Chung, M.D., Byung Wook Ha, M.D., Young Tak Seo, M.D., Young Hwan Ham, M.D., Mi Jin Kim, M.D., Tae Gun Moon, M.D., Sang Su Bae, M.D. and Hyung Jun Chu, M.D. |
| Division of Gastroenterology, Department of Internal Medicine, Hong Ik General Hospital, Seoul, Korea |
|
|
|
|
| Abstract |
|
|
Intussusception most commonly occurs in children, and in more than 90% of cases, no cause is found. In contrast, intussusception in adults is relatively rare but over 90% of patients have an organic lesion as the cause. Only 5% of cases of intussusception occur in adults and most involve the small intestine and are benign, whereas colonic intussusceptions are usually malignant. We report here a case of a 70-year-old man with intussusception who was referred with a one-day history of hematochezia and abdominal pain. The intussusception was caused by a sigmoid colonic tumor. The CT findings suggested that we could reasonably proceed to a sigmoidoscopy to confirm the site of obstruction. We speculated that the sigmoid colon tumor induced the anterograde intussusception. As with our patient, it is important to recognize the need to diagnose the primary lesion exactly and promptly. (Korean J Gastrointest Endosc 2008;36:169-172) |
| Key Words:
Adult intussusception, Sigmoidoscope, Sigmoid colonic tumor |
| 주요어:
성인 장중첩증, S자결장경, S자결장암 |
|
|
PDF Links
Full text via DOI 
Download Citation 
