Korean J Gastrointest Endosc > Volume 25(6); 2002 > Article
Korean Journal of Gastrointestinal Endoscopy 2002;25(6): 484-488.
혈변을 동반한 횡행결장의 거대 해면 혈관종 1예
최용호·김영훈·김지욱·김환열·이선해·이보영·서연석·함정호·정일권·김홍수·이문호·김선주·조현득*
순천향대학교 의과대학 내과학교실, *해부병리학교실
A Case of Giant Cavernous Hemangioma of Transverse Colon Associated with Hematochezia
Yong Ho Choi, M.D., Young Hun Kim, M.D., Ji Wook Kim, M.D., Hwan Yeol Kim, M.D.,Sun Hae Lee, M.D., Bo Young Lee, M.D., Youn Suk Seo, M.D., Jeong Ho Ham, M.D.,Il Kwun Chung, M.D., Hong Soo Kim, M.D., Moon Ho Lee, M.D., Sun Joo Kim, M.D.and Hyun Deuk Cho, M
Departments of Internal Medicine and *Pathology, Soonchunhyang University College of Medicine, Chonan Hospital, Chonan, Korea
Abstract
Gastrointestinal hemangiomas are not common and congenital lesion. Intestinal bleeding is the most common symptom of it. Hemangiomas were classified with capillary, cavernous and mixed type. Cavernous hemangioma is most common. Colonic cavernous hemangioma is rare and are usually arising in the sigmoid colon or/and rectum. Transverse colonic cavernous hemangioma are very rare. Gastrointestinal hemangioma is commonly developed in childhood and in young adults. Fifty eight-year-old man who complained of hematochezia was admitted. Physical examination was unremarkable. Stool occult blood was positive. Abdominal computerized tomography show normal finding. Colonoscopic examination showed giant and bluish-purple colored vascular malformation, 15 cm in length with tough bleeding, on the transverse colon. The patient underwent segmental resection of transverse colon for confirmatory diagnosis and treatment. The final pathologic diagnosis of the resection lesion was cavernous hemangioma of the transverse colon. We report a case of giant hemangioma of the transverse colon associated with hematochezia, with review of relevant literature. (Korean J Gastrointest Endosc 2002;25:484⁣488)
Key Words: Cavernous hemangioma, Colon, Hematochezia
주요어: 해면상 혈관종, 결장, 혈변
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