위장관 출혈을 동반한 맥켈 게실 내 이소성 췌장 1예
A Case of Heterotopic Pancreas within Meckel’s Diverticulum with Obscure Gastrointestinal Bleeding
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초록
저자들은 반복적인 다량의 혈변을 주소로 내원한 29세 여자 환자에서 출혈의 원인이 되었던 멕켈 게실 내 이소성 췌장을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Heterotopic pancreas is a tissue histologically similar to normal pancreatic tissue found in a location other than the usual place, and having no anatomic or vascular connection with the pancreas itself. Heterotopic pancreas is usually asymptomatic and found incidentally. However, it can cause problems such as abdominal pain, melena, anemia, and severe bleeding. We report a case of a 29-year-old woman with obscure gastrointestinal bleeding caused by heterotopic pancreas located in Meckel’s diverticulum. Gastroduodenoscopy and colonoscopy showed no bleeding focus. By capsule endoscopy and double balloon enteroscopy, a bleeding focus was suspected in the ileum. The patient received a laparoscopic resection of the Meckel’s diverticulum. Pathologic examination revealed heterotopic pancreatic tissue within the muscular layer of the diverticulum. The patient recovered well without further bleeding. (Korean J Med 2011;81:492-495)
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