회장에 발생한 이소성 췌장에 의한 장중첩증 1례
A Case of Intussusception Arising from Heterotopic Pancreas in Ileum
2
조회
0
다운로드
0
인용
0
참고문헌
초록
저자들은 구토와 주기적인 보챔으로 내원한 3개월 남아에서 회장에 발생한 이소성 췌장으로 인해 발생한 장중첩증으로 회장 절제술을 시행한 1례를 경험하였기에 보고하는 바이다.
Abstract
The heterotopic pancreas is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity from the main body of pancreas. Its incidence has been reported as widely ranging from 0.55～13.7% in autopsy studies and 0.2% in upper abdominal laparotomies. The most common sites are the antrum of stomach, duodenum and proximal jejunum. But, lesions have also been found in the ileum, Meckel diverticulum, common bile duct and the esophagus. Most cases are incidentally encountered during surgery, and on rare occasions, epigastric pain, hemorrhage, gastric outlet obstruction and intussusception have been directly attributable to the presence of the heterotopic pancreas. A 3-month-old boy presented with 1-day history of vomiting and irritability. Intussusception was confirmed on ultrasound scan. At laparotomy there was an irreducible ileoileal intussusception, the intussuscepted portion of ileum was resected and end to end anastomosis was performed. Histologically, the mass was found to be composed of pancreatic tissue.
참고문헌 (18)
- Armstrong CP, "The clinical significance of heterotopic pancreas in the gastrointestinal tract", 68, pp.384~7 (1981)
- Jochimsen PR, "Symptomatic ectopic pancreas relieved by surgical excision", 153, pp.49~52 (1981)
- Barbosa JJC, "Reiview of the literature and report of 41 authenticated surgical cases", pp.527~42
- Dolan RV, "The fate of heterotopic pancreatic tissue;A study of 212 cases", 109, pp.762~5 (1974)
- Choi JS, "Heterotopic pancreas", 24, pp.1403~10 (1992)
- Kilman WJ, "The spectrum of radiographic features of aberrant pancreatic rests involving the stomach", 123, pp.291~6 (1977)
- Hong JH, "Clinical analysis of a symptomatic heterotopic pancreas", 58, pp.716~721 (2000)
- Barrocas A, "Gastric heterotopic pancreas", 39, pp.361~5 (1973)
- Nakao T, "Aberrant pancreas in Japan;Review of literature and report of 12 surgical cases", 30, pp.57~63 (1980), Med J Osaka Univ
- Mobini J, "Intrahepatic pancreatic heterotopia", 19, pp.64~70 (1974)
- Martinez LO, "Aberrant pancreas in the gallbladder", 24, pp.234~5 (1973)
- Abel R, "Heterotopic pancreas as lead point in intussusception:new variant of vitellointestinal tract malformation", 2, pp.367~370 (1999)
- Kim W, "A case of heterotopic pancreas of the stomach by gastrofiberscopy", 21, pp.973~8 (1989)
- Anselin P, "Pancreatic heterotopia-a rare cause of bowel obstruction", 90, pp.110~3 (1981)
- Montgomery EA, "Intussusception,adenovirus,and children:a brief reaffirmation", 25, pp.169~74 (1994)
- Razi MD, "Ectopic pancreas tissue of esophagus with massive upper gastrointestinal bleeding", 92, pp.101~4 (1966)
- Guillou L, "Ductal adenocarcinoma arising in a heterotopic pancreas situated in a hiatal hernia", 118, pp.568~71 (1994)
- Lai EC, "Heterotopic pancreas:reveiw of a 26 year experience", 151, pp.697~700 (1986)