Korean Journal of Gastrointestinal Endoscopy 1999;19(4): 643-651.
메켈씨 장석(Meckel's Enterolith) 1예 ( A Case of Meckel's Enterolith )
이영록(Young Rock Lee),김영관(Young Kwan Kim),김영호(Young Ho Kim),조성구(Seong Kwoo Cho),박상모(Sang Mo Park),구소영(So Young Ku),김재권(Jae Kwon Kim),이연수(Yeon Soo Lee),김경호(Kyoung Ho Kim)
Abstract
Most intussusceptions occur in children under 1 year of age whereas 5%∼10% occurs in adults. Although intussusception has an acute occurrence in children, symptoms in adults may be subacute or chronic, and the diagnosis is often delayed. In contrast to adults, intussusception in children is the most common cause of intestinal obstruction, and one of the most frequent causes of surgical emergencies. While idiopathic cases account for more than 90% of those seen in children, many cases in adults are generally related to neoplasm. However, intussusception due to a primary malignant lymphoma of the small intestine is a rare clinical condition. There is little information on the role of colonoscopy in colonic intussusception. Two cases are herein reported, of malignant lymphoma in the ileocecal region causing intussusceptions in which the diagnosis and reduction of intussusception were made by colonoscopy. Colonoscopy plays a useful role in the diagnosis and management of intussusception. The clinical, radiographic, endoscopic, and pathologic findings are described with brief reviews of related literature. (Korean J Gastrointest Endosc 19: 650∼655, 1999)
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