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대장 절제술 후 발생한 회장 정맥류 출혈을 캡슐 내시경으로 진단한 1예
박창준 ( Chang Joon Park ),이봉은 ( Bong Eun Lee ),전혜경 ( Hye Kyung Jeon ),김광하 ( Gwang Ha Kim ),송근암 ( Geun Am Song ),고상화 ( Sang Hwa Ko ),이소정 ( So Jeong Lee ),박도윤 ( Do Youn Park ) 대한소화기학회 2018 대한소화기학회지 Vol.71 No.6
We report a case of bleeding ileal varices associated with intra-abdominal adhesions after colectomy which was successfully diagnosed using capsule endoscopy. A 77-year-old woman visited the emergency department for several episodes of melena. She had a medical history of neoadjuvant chemo-radiation therapy and subsequent surgery for rectal cancer 6 years previously. Conventional diagnostic examinations including upper endoscopy, colonoscopy, and abdominal computed tomography could not detect any bleeding focus, however, following capsule endoscopy revealed venous dilatations with some fresh blood in the distal ileum, indicating bleeding ileal varices. The patient underwent exploratory laparotomy and the affected ileum was successfully resected. No further gastrointestinal bleeding occurred during the 6 months follow-up. Small intestinal varices are important differential for obscure gastrointestinal bleeding especially in patients with a history of abdominal surgery in the absence of liver cirrhosis, and capsule endoscopy can be a good option for diagnosing small intestinal varices. (Korean J Gastroenterol 2018;71:349-353)