가족성 대장용종증 수술 후 생긴 거대 Desmoid Tumor에 의한 소장 천공에서 종양 부분 절제의 경험
Clinical Experience of Partial Resection of Desmoid Tumor and Perforated Small Bowel for Unresectable Desmoid Tumor with Small Bowel Perforation after IPAA for FAP
남영수,
소속 상세정보
남영수 ( Nam Young-Soo )
한양대학교 의과대학 구리병원 외과학교실
KMID : 0371320040670060493
Abstract
A complicated unresectable desmoid tumor is a life threatening disease. An unresectable desmoid tumor with perforation of the small bowel, was experience at my institute. In this case, the desmoid tumor had invaded major vessels, so that complete resection of the tumor would necessitate resection of most of the small bowel. A desmoid tumor with perforation of the small bowel following ileal pouch anal anastomosis for familial adenomatous polyposis is rare. If the patent had not undergone the operation, they would not have survived. Also, had the tumor with a perforated bowel been completely, resected, they also would not have survived. Therefore, a partial resection of the desmoid tumor and perforated small bowel was performed, with a good result. It is not necessary to abort such an operation, with potentially fatal consequences, due to an unresectable desmoid tumor with a perforated small bowel. Herein, this case is reported with a review of the literature. (J Korean Surg Soc 2004; 67:493-495)
키워드
소장천공; 유건종; 부분절제; Desmoid tumor; Small bowel perforation; Partial resection
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