성인에서 발생한 소장 지방종에 의한 공장-공장 중첩증 1예 = A case of jejuno-jejunal intussusception caused by a small intestinal Lipoma

국문 초록 (Abstract)

성인에 있어서의 장중첩증은 소아와 달리 대부분 원인질환을 동반하며 임상증상도 지속적이기보다는 단속적인 경우가 많고, 오히려 급성보다는 만성의 경과를 취하는 경우가 더 흔하다. 특히 그 원인이 소장의 지방종에 의한 것은 매우 드물며, 대부분 원위측 회장에서 발생한 지방종에 의한 장중첩증이 보고되었다. 저자들은 복부 수술의 병력이 없는 성인에서 정형외과적 수술 후 발생한 공장의 지방종에 의한 공장-공장 중첩증 1예를 경험하였기에 문헌고찰과 함께 보고한다.

다국어 초록 (Multilingual Abstract)

Intussusception is a prolapse of a segment of the intestine into the lumen of the adjacent intestine. The majority of intussusceptions occur in infancy and early childhood. Intussusception arising in adulthood represents only about 5% of all intussusceptions and is usually caused by a malignant small bowel lesion acting as an apex for intussusception. Lipoma is not a common tumor in the gastrointestinal tract, and gastrointestinal lipomas may be submucosal or subserosal. Most of them are asymptomatic, although they may cause abdominal pain, bowel obstruction, and gastrointestinal bleeding. Intestinal intussusception caused by lipoma is uncommon and is particularly rare when the lipoma is located in the small intestine. We report an unusual case of intussusception in an adult male patient, which was caused by a lipomatous lesion located in the proximal jejunum acting as a lead point. (Korean J Med 75:333-336, 2008)

참고문헌 (Reference)

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