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성인에서 발생한 소장 지방종에 의한 공장-공장 중첩증 1예

A case of jejuno-jejunal intussusception caused by a small intestinal lipoma

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Intussusception is a prolapse of a segment of the intestine into the lumen of the adjacent intestine. The majority of intussusceptions occur in infancy and early childhood. Intussusception arising in adulthood represents only about 5% of all intussusceptions and is usually caused by a malignant small bowel lesion acting as an apex for intussusception. Lipoma is not a common tumor in the gastrointestinal tract, and gastrointestinal lipomas may be submucosal or subserosal. Most of them are asymptomatic, although they may cause abdominal pain, bowel obstruction, and gastrointestinal bleeding. Intestinal intussusception caused by lipoma is uncommon and is particularly rare when the lipoma is located in the small intestine. We report an unusual case of intussusception in an adult male patient, which was caused by a lipomatous lesion located in the proximal jejunum acting as a lead point. (Korean J Med 75:333-336, 2008)

Abstract

Intussusception is a prolapse of a segment of the intestine into the lumen of the adjacent intestine. The majority of intussusceptions occur in infancy and early childhood. Intussusception arising in adulthood represents only about 5% of all intussusceptions and is usually caused by a malignant small bowel lesion acting as an apex for intussusception. Lipoma is not a common tumor in the gastrointestinal tract, and gastrointestinal lipomas may be submucosal or subserosal. Most of them are asymptomatic, although they may cause abdominal pain, bowel obstruction, and gastrointestinal bleeding. Intestinal intussusception caused by lipoma is uncommon and is particularly rare when the lipoma is located in the small intestine. We report an unusual case of intussusception in an adult male patient, which was caused by a lipomatous lesion located in the proximal jejunum acting as a lead point. (Korean J Med 75:333-336, 2008)

참고문헌 (16)

  1. Ryu KW, "Diagnosis and treatment of adult intussusception due to gastrointestinal lipoma", J Korean Surg Soc, 59, pp.61~66 (2000)
  2. Seong SG, "A case of small bowel lipoma resulting intussusception", Korean J Gastroenterol, 29, pp.543~548 (1997)
  3. 윤상온, "성인에서 발생한 장중첩증", Annals of Coloproctolgy, 20(4), pp.199~203 (2004), 대한대장항문학회
  4. Park SW, "Etiology and amangement for adult intussusception", J Korean Soc Coloproctol, 17, pp.304~308 (2001)
  5. Azar T, "Adult intussusception", Ann Surg, 226, pp.134~138 (1997)
  6. Kim SW, "Abdominal CT scanning in adult intussusception", J Korean Soc Coloproctol, 14, pp.585~594 (1998)
  7. 박지영, "조기 위암과 함께 발생한 위 지방종의 수술적 절제 1예", Clinical Endoscopy, 28(6), pp.312~316 (2004), 대한소화기내시경학회
  8. Bardaji M, "Symptomatic colonic lipoma: differential diagnosis of large bowel tumors", Int J Colorectal Dis, 13, pp.1~2 (1998)
  9. Algin C, "Esophagectomy in esophageal lipoma: report of a case", Turk J Gastroenterol, 17, pp.110~112 (2006)
  10. Deeths TM, "Multiple lipomas of the stomach and duodenum", Am J Dig Dis, 20, pp.771~774 (1975)
  11. Matsuo S, "Small bowel tumors: an analysis of tumor-like lesions, benign and malignant neoplasms", Eur J Surg Oncol, 20, pp.47~51 (1994)
  12. Moreira LF, "Submucosal lipoma synchronous with an early gastric cancer", J Clin Gastroenterol, 14, pp.173~174 (1992)
  13. Heiken JP, "Computed tomography as a definitive method for diagnosing gastrointestinal lipomas", Radiology, 142, pp.409~414 (1982)
  14. 이보영, "장중첩증을 동반한 거대 대장 지방종의 내시경적 절제 1예", Clinical Endoscopy, 26(2), pp.99~102 (2003), 대한소화기내시경학회
  15. Weilbaecher D, "Intussusception in adults: review of 160 cases", Am J Surg, 121, pp.531~535 (1971)
  16. Begos DG, "The diagnosis and management of adult intussusception", Am J Surg, 173, pp.88~94 (1997)

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