Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 161-165.
간만곡부 거대 종괴로 발현된 충수돌기 점액낭종에 의한 장중첩증
김헌국ㆍ김현수ㆍ석기태ㆍ김혜정ㆍ박경원ㆍ차승환*ㆍ정요셉†ㆍ조미연†
연세대학교 원주의과대학 내과학교실, *영상의학교실, †병리학교실
Appendiceal Mucocele-Induced Intussusception That Presented as a Huge Mass on the Hepatic Flexure Area
Hearn Kook Kim, M.D., Hyun Soo Kim, M.D., Ki Tae Suk, M.D., Hye Jung Kim, M.D., Kyong Won Park, M.D., Seung Whan Cha, M.D.*, Yosep Chong, M.D.† and Mee-Yon Cho, M.D.†
Departments of Internal Medicine, *Radiology and †Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
Abstract
Appendiceal intussusception is a rare disease entity and appendiceal mucocele is one of the causes of this disease. Although computed tomography, ultrasonography, barium enema and colonoscopy can be performed to make a preoperative diagnosis, only a few cases of appendiceal mucocele-induced intussusception have been precisely diagnosed by these diaggnostic tools. Most of all, few such cases have been confirmed by colonoscopic examination. Colonoscopic examination has a supplementary role for the differential diagnosis of acute or chronic appendicitis, tumor or abscess in the ascending colon and cecum that is caused by appendiceal intussusception. We report here on a case of intussusception that was caused by an appendiceal mucocele, and this showed a target appearing structure in the hepatic flexure and a cystic mass inside the intussusceptive lumen on abdominal CT, and a huge mass was discovered on the colonoscopic examination. (Korean J Gastrointest Endosc 2009;38:161-165)
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