토혈이 동반된 멕켈 게실에 의한 회회맹장형 장중첩증 1례
A Case of Ileoileocolic Type Intussusception Presented with Hematemesis Due to Meckel's Diverticulum
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저자들은 7세의 여아가 구토, 미만성 복통과 복부 팽만, 혈성 설사 후 토혈이 있어 검사한 복부 초음파 검사상 장중첩증이 발견되었고, 개복수술 시 멕켈 게실이 발견된 증례를 경험하였다. 장중첩증이나 멕켈 게실이 있는 소아에서 토혈이 동반되는 경우는 드물기에 이를 보고하는 바이다.
Abstract
Intussusception is the most common cause of intestinal obstruction in early childhood and characterized by periodic colicky abdominal pain or irritability, vomiting, current jelly stool, and sausage-like abdominal mass. Meckel's diverticulum is common intestinal anomaly presenting with painless rectal bleeding during first 2 year of age. It is recognized as a common leading point of intussusception in childhood. Hematemesis is the rare clinical manifestation of both intussusception and Meckel's diverticulum. A 7-year-old girl presented with hematemesis was diagnosed as having intussusception by abdominal ultrasonography. Meckel's diverticulum was the leading point of intussusception in this case.
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