회맹부 게실에 의한 장중첩증 1례 보고
Intussusception due to Diverticulum of Ileocecal Area
김인철, 신대원, 최용재, 배은주, 이경자, 류병윤, 조지웅, 최경찬,
소속 상세정보
김인철 ( Kim In-Cheol )
한림대학교 의과대학 소아과학교실
신대원 ( Shin Dae-Won )
한림대학교 의과대학 소아과학교실
최용재 ( Choi Yong-Jae )
한림대학교 의과대학 소아과학교실
배은주 ( Bae Eun-Joo )
한림대학교 의과대학 소아과학교실
이경자 ( Lee Kyeung-Ja )
한림대학교 의과대학 소아과학교실
류병윤 ( Ryu Byoung-Yoon )
한림대학교 의과대학 외과학교실
조지웅 ( Cho Ji-Woong )
한림대학교 의과대학 외과학교실
최경찬 ( Choi Kyung-Chan )
한림대학교 의과대학 해부병리학교실
KMID : 0816120010040010104
Abstract
Intussusception is a frequent cause of bowel obstruction in the first five years of life and it is one of the most common surgical emergencies in infancy and early childhood. The age of five months child was administered in Department of Pediatrics of Chunchon Sacred Heart Hospital. His main symptoms were vomiting and high fever for three days. Abdominal sonography, air reduction and abdominal computerized tomography (CT) were performed and the conclusion of these study was intussusception due to cyst mass lesion; duplication cyst, mesenteric cyst or Meckel’s diverticulum. He was transferred for operation. We had performed laparotomy for reduction of the intussusception. Operative findings revealed ileocolic type of intussusception due to cystic tumor on ileocecal valve that was invaginated into the cecum, and hyperplasia of the Peyer’s patch were seen. But we failed manual reduction because of the tumor in the ileocecal area. So we had performed partial resection of the ileocecum. Diverticulum of the ileum was confirmed by pathologic examination. We experienced unusual cause of the intussusception. So we report this case with a review of the literatures. (J Korean Pediatr Gastroenterol Nutr 2001; 4: 104∼107)
키워드
Intussusception;Diverticulum
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