내시경 용종절제술 후 발생한 대장 장중첩증 1예
A Case of Colonic Intussusception Occurring after Colonoscopic Polypectomy
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초록
성인 장중첩증은 드문 질환이다. 성인 장중첩증의 대부분은 병리적인 선행 병변이 관찰되며 수술 치료가 대부분 필요하다. 대장의 내시경 용종절제술 후 장중첩증이 발생한 경우는 매우 드물다. 이번 증례는 77세 남자가 대장의 내시경 용종절제술을 시행 받은 후 발생한 복통으로 내원하여 장중첩증을 진단 받고 보전적인 치료만으로 자발적인 정복이 되지 않아 수술 치료를 한 증례이다. 수술 후 절제된 대장의 조직 소견을 통하여 용종절제술을 시행한 부위가 장중첩증의 선행 병변이었음을 확인하였다.
Abstract
Intestinal intussusception in adults is a rare disease. Most of the cases of adult intussusception are secondary to a definable lesion, and so surgical treatment generally needed. Intussusception that occurs after colonoscopic polypectomy is apparently a rare malady. A 77-year old man undergoing colonoscopic polypectomy was diagnosed as having colonic intussusception at the hepatic flexure. As there was no clinical improvement with conservative treatment, he underwent segmental resection of the ascending and transverse colon. Pathologic examination revealed that the colonoscopic polypectomy site was a leading point of the intussusception.
참고문헌 (14)
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