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이소성 췌장 조직을 동반한 반전된 메켈게실에 의한 성인의 장중첩증
전예원(Ye-Won Jun),계봉현(Bong Hyun Kye),김형진(Hyung Jin Kim),조현민(Hyeon-Min Cho),유창영(Changyoung Yoo),황성수(Seong Su Hwang) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.6
Adult intussusception is rare involving of only 1% of the causes of bowel obstruction. We report a case of a 39-year-old female with intussusceptions due to inverted Meckel’s diverticulum. She visited our hospital for diffuse abdominal pain during 1 week and aggravated abdominal pain for 2 days. Vital signs were stable, and there was periumbilical tenderness. She had no history of abdominal operation. CT scan showed a 3.7×2.1 ㎝ of fatty mass with focal intussusception in the distal ileum. When the emergency operation was performed, the patient was found to be suffering from ileocolic intussusception. A manual reduction of intussusception showed inverted Meckel’s deverticulum at 65 ㎝ proximal to the ileocecal valve, and the segmental resection of small bowel including a Meckel’s diverticulum was performed. Pathologic examination revealed a Meckel’s diverticulum containing a 0.6×0.6 ㎝ sized aberrant pancreas.