근위부 회장에서 발생한 Dieulafoy 혈관기형의 출혈 -1예 보고-
Bleeding form Dieulafoy’s Vascular Malformation of the Proximal Ileum -A case report-
대한병리학회지 1999년 33권 12호 p.1207 ~ 1210
김희정, 정준근, 서영민, 김경숙, 김호근,
소속 상세정보
김희정 ( Kim Hee-Jung )
연세대학교 의과대학 병리학교실
정준근 ( Jung Jun-Keun )
안양중앙병원 내과
서영민 ( Suh Young-Min )
안양중앙병원 외과
김경숙 ( Kim Kyung-Sook )
안양중앙병원 임상병리과
김호근 ( Kim Ho-Guen )
연세대학교 의과대학 병리학교실
KMID : 0357919990330121207
Abstract
Dieulafoy’s vascular malformation is a rare cause of massive gastrointestinal bleeding. Most often it occurs in stomach within 6 cm from the gastroesophageal junction. Only a few cases have been reported to occur in the small intestine and colon. Occasionally, Dieulafoy’s lesion of small intestine is difficult to recognize because of rarity, a paucity of symptoms and negative findings on barium studies. Therefore, this lesion needs to be considered in a patient with massive lower gastrointestinal bleeding. We report a case of Dieulafoy’s vascular malformation in ileum 2 m proximal to ileocecal value in a 41-year-old woman who visited emergency clinic because of hematemesis, dizziness and vomiting. Small intestine revealed a wide-caliber artery within the submucosa showing intimal thickening, medial muscular hypertrophy and thrombosis.
키워드
Dieulafoy’s lesion;Gastrointestinal bleeding;Ileum
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