재발성 장중첩증 환아에서 병적 선두로 확인된 장중복 낭종 1예
A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception
이건송, 이영석, 박지윤, 오종석, 성인창, 한강민,
소속 상세정보
이건송 ( Lee Kun-Song )
단국대학교 의과대학 소아과학교실
이영석 ( Lee Yung-Suk )
단국대학교 의과대학 영상의학교실
박지윤 ( Park Ji-Yun )
단국대학교 의과대학 소아과학교실
오종석 ( Oh Jong-Seok )
단국대학교 의과대학 소아과학교실
성인창 ( Seong In-Chang )
단국대학교 의과대학 소아과학교실
한강민 ( Han Kang-Min )
단국대학교 의과대학 병리학교실
KMID : 0816120100130010075
Abstract
Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a 2.4×2.4 cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.
키워드
Intestinal duplication cyst; Intussusception; Pathologic lead point; Double wall sign; Y-configuration
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