임산부에서 발생한 대장암에 속발된 장중첩증 1예
Intussusception Caused by Colon Cancer in Pregnancy
김경중, 고명관, 심호찬, 김창래, 정여진, 김태오,
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김경중 ( Kim Kyung-Joong )
인제대학교 해운대백병원 소화기내과
고명관 ( Ko Myung-Kwan )
인제대학교 해운대백병원 소화기내과
심호찬 ( Sim Ho-Chan )
인제대학교 해운대백병원 소화기내과
김창래 ( Kim Chang-Lae )
인제대학교 해운대백병원 소화기내과
정여진 ( Jung Yeo-Jin )
인제대학교 해운대백병원 소화기내과
김태오 ( Kim Tae-Oh )
인제대학교 해운대백병원 소화기내과
Abstract
Intussusception is a common in pediatric age group. But it is rare in adults. And intussusception caused by tumor account for 1% of bowel obstructions in adult. Intussusception is an extremely rare cause of abdominal pain in pregnancy. In particular, cases of Intussusception due to colorectal cancer during pregnancy have never been reported in Korea. Our patient is a 34 years old woman who presented at 14 weeks of her second pregnancy. She presented with right lower abdominal discomfort and intermittent palpable mass which was usually spontaneously resolved. In the MRI study, pathologic asymmetric wall thickening was still noted and ileocolic intussusception was noted, and in colonoscopy, there was ulcerofungating mass around ileocecal valve which may be a leading point of intussusception. Biopsy was done. Pathologic finding was poorly differentiated adenocarcinoma. Under the patient agreement, we performed dilatation and curettage and laparoscopic right hemicolectomy and lymph node dissection. Now she is receiving a FOLFOX chemotherapy.
키워드
Pregnancy; Intussusception; Colonic neoplasms
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