위장관 간질종양으로 오인된 대장 중복낭 1예 = CASE REPORT : A Case of Colonic Duplication Cyst Mimicking Gastrointestinal Stromal Tumor

다국어 초록 (Multilingual Abstract)

Duplications of the gastrointestinal tract are rare congenital malformations that are usually present during the first decade of life. However, a smaller number of cases may remain occult until adulthood. Overall, the colon is the least common site of congenital gastrointestinal duplications. Colonic duplications can present with symptoms of diverticulitis and can be confused with acquired giant cysts or masses. We present a rare case of a duplication cyst of the colon in a female adult. Although the preoperative evaluations, including an abdominal CT scan and colonoscopy, were suggestive of a gastrointestinal tumor of the colon, the final diagnosis was a colonic duplication cyst based on the histopathologic examination of the resected specimen. Even if intestinal duplication cysts are uncommon, they should be considered in the differential diagnosis of intestinal masses. (Intest Res 2009;7:64-67)

참고문헌 (Reference)

1 민정요, "관상 중복 결장 1예" 대한소화기내시경학회 35 (35): 201-204, 2007

2 Torma MJ, "Of double stomachs" 109 : 555-557, 1974

3 Orr MM, "Neoplastic change in duplications of the alimentary tract" 62 : 269-274, 1975

4 Wardell S, "Ileal duplication cyst causing massive bleeding in a child" 12 : 681-684, 1990

5 Macpherson RI, "Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations" 13 : 1063-1080, 1993

6 Lavine JE, "Gastrointestinal duplications causing relapsing pancreatitis in children" 97 : 1556-1558, 1989

7 Gross RE, "Duplications of the alimentary tract" 9 : 448-468, 1952

8 Kang YW, "Duplication of the transverse colon: a case report" 18 : 59-63, 2002

9 Merrot T, "Duodenal duplications. Clinical characteristics, embryological hypotheses, histological findings, treatment" 16 : 18-23, 2006

10 Inouye WY, "Duodenal duplication:case report and literature review" 162 : 910-916, 1965

11 Yucesan S, "Complete duplication of the colon" 21 : 962-963, 1986

12 Fuchs JR, "Complete colonic duplication--a case report" 43 : E11-E13, 2008

13 Kekez T, "Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism" 14 : 644-646, 2008

14 Carneiro FP, "Colonic duplication in an adult mimicking a tumor of pancreas" 14 : 966-968, 2008

15 Mellish RW, "Clinical manifestations of duplication of the bowel" 27 : 397-407, 1961

16 Cavar S, "Batinica S. Intestinal duplications--experience in 6 cases" 38 : 329-332, 2006

17 김영완, "Asymptomatic Tubular Duplication of the Transverse Colon in an Adult" 연세대학교의과대학 46 (46): 189-191, 2005

18 Oh SK, "A case of duplication of the ileum" 30 : 1446-1451, 1987