성인 장중첩증의 원인과 CT 소견
Causes and CT Findings of Adult Intussusception
천경아, 변재영, 이재문, 하현권, 김현, 박영하, 김일순, 김종우, 박용휘,
소속 상세정보
천경아 ( )
가톨릭대학교
변재영 ( )
가톨릭대학교
이재문 ( )
가톨릭대학교
하현권 ( )
가톨릭대학교
김현 ( )
가톨릭대학교
박영하 ( )
가톨릭대학교
김일순 ( )
가톨릭대학교
김종우 ( )
가톨릭대학교
박용휘 ( )
가톨릭대학교
KMID : 0386119930290020239
Abstract
Adult intussusception is a rare condition, unlike in children. Ihere is an identifiable bowel lesion as a leading point in most of cases.
Retrospectively we reviewed 22 patients with adult intussusception, and analyzed CT scans of 13 patients during the last 5 years. Twenty of the 22 patients had various causes of intussusception and 7 patients were associated with primary
malignancy, 5
patients with benign tumor, and 4 patients with adhesive band. CT scans of 13 cases all showed characteristic target appearance or sausage-like soft tissue mass within the bowel, suggesting intussusception. In eleven of the 13 patients(84.6%) an
intussuscepting mass was identified on CT scan as the lead point. Specific diagnosis for the cause of intussusception could be made by CT in four of 13 cases (three lipomas and one mucocele).
In conclusion, CT is useful not only for the diagnosis but also for the evaluation of the leading causes of intussusception. Especially, CT could determined the exact cause of intussusception in cases of lipoma and mucocele.
키워드
원문 및 링크아웃 정보
등재저널 정보