Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 403-407.
증례 : 식도 위장관 ; 대장의 혈관이형성증과 동반된 십이지장 평활근육종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Duodenal Leiomyosarcoma in a Patient with Colonic Angioysplasia )
김대혁, 권계숙, 조현근, 김범수, 문희용, 신용운, 김영수, 김미영 (Dea Hyeok Kim, Kye Sook Kwon, Hyeon Geun Cho, Pum Soo Kim, Hee Yong Moon, Yong Woon Shin, Young Soo Kim and Mi Young Kim)
Abstract
Angiodysplasia is probably responsible for 2.6-6.2% of cases involving of lower gastrointestinal bleeding and 1.2-8.0% of cases involving hemorrhages from the upper GI tract. Small bowel neoplasia is rare, accounting for about 5% of gastrointestinal tumors overall and 2-3% of all malignacies. The third most common malignany of the small bowel is the sarcoma, of which the leiomyosarcoma is the most frequent. A 54-year-old male patient was admitted with the chief complaints of dizziness and headache during 2 months. Laboratory findings revealed iron deficiency anemia. A superior mesenteric arteriography found an intensive vascular stained mass in the hepatic flexure. A celiac artery angiography discovered a irregulary vascular stained lesion in the Ll vertebral level. A colonoscopy located a 10 mm sized angiodysplasia in the right colon. According to these findings, we presumed that these lesions are a colonic angiodysplasia and a suspicious duodenal lesion. The operation was perfomed. The final diagnosis was a colonic angiodysplasia combined with leiomyosarcoma of the duodenum. The rarity of this case is emphasized and the literative reviewed. (Korean J Gastrointest Endosc 18: 403-407, 1998)
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