Korean Journal of Gastrointestinal Endoscopy 2010;40(3): 190-194.
대량의 소장 출혈을 보인 공장 게실증에서 우연히 발견된 거대 지방종
정승혜ㆍ정우철ㆍ이강문ㆍ백창렬ㆍ김현진ㆍ정성훈ㆍ곽재욱ㆍ정지한*
가톨릭대학교 의과대학 성빈센트병원 내과학교실, *병리학교실
A Giant Lipoma Incidentally Found in Massive Jejunal Diverticular Bleeding
Seung Hye Jung, M.D., Woo Chul Chung, M.D., Kang Moon Lee, M.D., Chang Nyol Paik, M.D., Hyun Jin Kim, M.D., Sung Hoon Jung, M.D., Jae Wuk Kwak, M.D. and Ji Han Jung, M.D.*
Departments of Internal Medicine and *Pathology, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
Abstract
Jejunal diverticulosis is a rare malady and it is often asymptomatic. It may lead to chronic non-specific or acute symptoms such as malabsorption, intussusception, obstruction, bleeding, perforation and abscess formation. It usually is seen as an incidental finding on computerized tomography, enteroclysis or during an emergency operation. Since the advent of double balloon enteroscopy and capsule endoscopy, several cases of small bowel diverticulosis with complications have recently been reported. Lipomas are the rare benign tumors of the small intestine with no malignant potential and they are mostly incidentally encountered during investigation of the gastrointestinal tract. We report here on a case of massive small bowel bleeding with jejunal diverticulosis, and a pedunculated elongated lipoma was incidentally found. (Korean J Gastrointest Endosc 2010;40:190-194)