장중첩증을 동반한 거대 대장 지방종의 내시경적 절제 1예 |
이보영·정승원·권순효·장재영·정인섭·유창범·홍수진· 김진오·조주영·이준성·이문성·심찬섭·김부성·권계원* |
순천향대학교 의과대학 내과학교실, 소화기연구소, *해부병리학교실 |
A Case of Colonic Giant Lipoma Removed by Endoscopic Resection |
Bo Young Lee, M.D., Seung Won Jeong, M.D., Soon Hyo Kwon, M.D., Jae Young Jang, M.D., In Sub Jung, M.D., Chang Bum Ryu, M.D., Su Jin Hong, M.D., Jin Oh Kim, M.D., Joo Young Cho, M.D., Joon Seong Lee, M.D., Moon Sung Lee, M.D., Chan Sup Shim, M.D., Boo Sun |
Departments of Internal Medicine and *Pathology, Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea |
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Abstract |
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Colonic lipomas represent mesenchymal origin tumors that are second most common benign colonic tumor after hyperplastic polyps and adenomatous polyps. The patho- genesis of them is not clear. Most patients are asymptomatic and the lesion is often detected incidentally at colonoscopy, operation, and autopsy. According to the size and the location of lipoma, it may cause intestinal obstruction, perforation, intussusception, and life-threatening bleeding. There have been many reports of small colonic lipomas removed by endoscopic resection. Giant lipoma which is greater than 2 cm in size has been associated with higher risk of perforation, thus it has been removed by surgery until now. We report a case of colonic giant lipoma inducing intussusception which could be removed by endoscopic resection. (Korean J Gastrointest Endosc 2003;26: 99102) |
Key Words:
Colon lipoma, Endoscopic resection |
주요어:
대장 지방종, 내시경적 절제술, 장중첩증 |
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