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충수 돌기의 점액낭종으로 야기된 충수 돌기형 장중첩증 1예

A case of intussusception by appendiceal mucocele

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참고문헌

키워드

주제분류내과학

초록

저자들은 22세 여자 환자에서 발생한 충수돌기의 양성 점액성 낭종에 의한 장중첩증을 경험하고, 이를 충수돌기 절제술만으로 치료하였다. 이를 문헌 고찰과 함께 보고한다.

Abstract

Intussusception of the appendix is not only extremely rare but also presents with symptoms similar to appendicitis. Therefore, preoperative diagnosis is unusual. On the other hand, appendiceal mucocele refers to obstructive dilatation of the appendiceal lumen caused by mucus. It has been reported in 0.2~0.3% of appendectomy specimens. A 22-year-old woman visited the Emergency Department because of right lower abdominal tenderness with hematochezia. Abdominal CT scan revealed a target sign in the right lower quadrant area that was suggestive of intussusception. The patient underwent emergency surgical reduction of the intussusception and appendectomy. The pathology showed an appendiceal mucocele. (Korean J Med 75:449-452, 2008)

참고문헌 (16)

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