Korean J Gastrointest Endosc > Volume 41(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(4): 245-250.
단일풍선 소장내시경으로 진단한 공장의 MALT 림프종 1예
최선욱ㆍ백정선ㆍ한석원ㆍ김창환ㆍ김태호ㆍ김민국ㆍ최 황
가톨릭대학교 의과대학 내과학교실
A Case of Jejunal Extranodal MALT Lymphoma Diagnosed by Single-balloon Enteroscopy
Son Ook Choi, M.D., Jung Sun Bag, M.D., Sok Won Han, M.D., Chang Whan Kim, M.D., Tae Ho Kim, M.D., Min Kuk Kim, M.D. and Hwang Choi, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Small bowel lesions located in long and multiple complex loop configurations were difficult to diagnose early because of vague clinical manifestations and because of the poor diagnostic yield of conventional examination methods. In this setting, double-balloon enteroscopy (DBE) was an epoch-making diagnostic and therapeutic tool for the management of patients with small bowel disease. Single-balloon enteroscopy (SBE), lacking a balloon at the endoscopic tip, is also a useful method for investigating and managing suspected small bowel lesions. Mucosa associated lymphoid tissue (MALT) lymphoma of the small bowel is relatively uncommon and remains a localized disease for long periods in most patients. Recently, we experienced a case of advanced-stage MALT lymphoma in the jejunum. A 60-year old female, with a history of anemia of unknown etiology and who was suspected of having a small bowel lesion, presented with complaints of vague abdominal pain and dizziness. She had undergone SBE via the oral route. She was diagnosed with MALT lymphoma of the jejunum and treated with medical management. (Korean J Gastrointest Endosc 2010;41:245-250)
Key Words: Jejunal MALT lymphoma, Single-balloon enteroscopy
주요어: 공장 MALT 림프종, 단일풍선 소장내시경
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