Korean Journal of Gastrointestinal Endoscopy 1997;17(4): 561-567.
증례 : 식도 위장관 ; 대장내시경으로 진단된 게실염에 의한 장중첩증 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Diverticulitis Associated with Intussuseption Diagnosed by Colonofiberscopy )
박상흠, 이문호, 김영선, 김홍수, 김선주, 이태영, 정일권, 성재락, 목지오, 황산 (Sang Heum Park, Moon Ho Lee, Young Sun Kim, Hong Soo Kim, Sun Joo Kim, Tae Young Lee, Il Kwun Chung, Jae Rak Sung, Ji Oh Mok and San Hwang)
Abstract
Intussusception is defined as the telescoping of one segment of the gastrointestinal tract into an adjacent one. The incidence of the adult intussusception is low. It constitutes approx- imately 5% of all intussusception and accounts for 5% of all cases of intestinal obstruction in adult. The clinical feature in adults is not typical. General symptoms and signs of intestinal obstruction dominate the clinical feature of intussusception in adult. The classic appearance of intussusception on barium studies is the coil spring appearance as contrast is trapped between the intussusceptum and intussuscipiens. Ultrasound and CT scan shows a target-like lesion. Colonofiberscopy shows a round invaginated mass with congested mucosa and by air inflation, round mass is decreased in size and is changed in shape. Differential diagnosis can be made by colonofiberscopy because the most common cause of colonic intussusception in adult is a primary colon cancer. A case of diverticulitis associated with intussusception diagnosed by colonofiberscopy in a 72 years old man was presented with brief review of the literature. (Korean J Gastrointest Endosc 17: 561- 566, 1997)
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