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이경식(Kyong Sik Lee),김충배(Choong Bai Kim),이경포(Kyung Po Lee),이상훈(Sang Hoon Lee) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.2
Intussusception in adults is relatively rare and usually occurs secondary to tumors or other underlying causes. It appears that the incidence of associated malignancy is increasing compare to the past. The characteristics of adult intussusception is multiple attacks of partial intestinal obstruction and its chronic course. However, preoperative diagnosis is often difficult due to its vague and variable clinical picutres. The treatment principle is operative intervention to its causative lesion. During the past 20 years, from Jan. 1967 to Aug. 1987, 38 adult patients had documented adult intussusception at Yonsei Medical Center; 24 instances of intussusception originating in the small intestine and 14 instances originating in the colon. The etiologic factors were found in 27 cases (71%). Of the 14 colon intussusception, 3 cases were associated with malignancy and 6 out of 24 small bowel intussusception were result from the malignancy. The most common malignancy found was malignant lymphoma. Surgical intervention was carried out in all of these 38 cases; 26 cases underwent surgical resection and remainder was reduced manually after surgical exploration.
강성일(Sung Il Kang),김종우(Jong Woo Kim),김승기(Seung Ki Kim),정철운(Chul Woon Chung),권성원(Sung Won Kwon),안대호(Dae Ho Ahn),이경포(Kyong Po Lee),이경식(Kyong Sik Lee) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.6
Purpose: Endometriosis is the heterotropic occurrence of island of endometrial glands and stroma outside of uterus. It common occurs in pelvic cavity, but rarely at the ectopic area of extra-pelvic cavity. The aim of this study was to evaluate the clinical characteristics of extrapelvic endometriosis in order to help diagnosis and treatment. Methods: Between January 2001 and June 2007, 22 patients who underwent surgery and was diagnosed as ectopic endometriosis of extra-pelvic cavity at Bundang CHA hospital were retrospectively reviewed with medical records and a telephone interview. Results: All cases were women in their reproductive age, with a median age of 33 years (range 24~49 years). 17 of 22 cases were endometriosis in the scarring tissue of prior caesarean section wound on abdomen. 1 case in vaginal orifice on episiotomy wound of perineum, 1 case in femoral ring area and 3 cases in appendix. All patients except endometriosis of appendix, were presented with mass, pain and symptoms almost associated with menstruation. 18 of 22 cases were suspected of having extra-pelvic endometriosis due to their specific clinical features, 4 cases were suspected of hernia and acute appendicitis. All patients were treated with surgery. None has revisited to clinics due to recurrence. Conclusion: Women who have mass or lump in surgical scar and symptoms associated with menstruation period should be suspected of having endometriosis. Endometriosis of surgical scaring tissue should be treated by wide local excision to prevent local recurrence.