이중풍선 소장내시경으로 진단한 회장 해면상 혈관종 1예
Cavernous hemangioma in the ileum diagnosed at double balloon enteroscopy: A case report
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초록
소장 혈관종은 매우 드문 질환으로 90% 이상의 환자가 장출혈 등의 증상을 보이나 10%에서는 증상 없이 우연히 발견된다. 복부전산화단층촬영에서 우연히 발견된 소장 종괴의 감별 진단을 위해 이중풍선 소장내시경을 시행하여 혈관종으로 진단한 후 복강경수술로 절제한 증례를 통해 이중풍선 소장내시경이 혈관종을 비롯한 드문 소장 종양의 감별 진단 및 치료 방침 결정에 유용함을 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
Hemangiomas of the small intestine are uncommon benign tumors, of which 90% present with symptoms such as acute or chronic recurrent gastrointestinal bleeding, while 10% of the cases are asymptomatic. The preoperative diagnosis is challenging. We report a case of ileal hemangioma detected incidentally on abdominopelvic computed tomography (CT). In this case, we performed double balloon enteroscopy to confirm the diagnosis before surgical resection, which helped with the therapeutic plan.
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