Korean J Gastrointest Endosc > Volume 28(1); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(1): 47-51.
대장 내 해면상혈관종(Cavernous Hemangioma) 1예
이상원*·최종원*·조용석·서정훈·원선영·이천균·박인서
국민건강보험공단 일산병원 소화기내과, *연세대학교 의과대학 내과학교실
A Case of Cavernous Hemangioma of the Colon
Sang Won Lee, M.D.*, Jong Won Choi, M.D.*, Yong Suk Cho, M.D., Jung Hun Seo, M.D., Sun Young Won, M.D., Chun Gyun Lee, M.D. and In Suh Park, M.D.
Department of Gastroenterology, National Health Insurance Corporation Ilsan Hospital, Ilsan, and *Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
Abstract
Gastrointestinal cavernous hemangiomas are rare, with an incidence of about 1 per 15,000 persons and the second most common vascular lesions of the colon. They are generally congenital, with their origin in embryologic sequestrations of mesodermal tissue. Enlargement occurs by projection of budding endothelial cells. These lesions are a significant cause of rectal bleeding with anemia, obstruction and rarely platelet sequestration, although approximately 10% of patients remain asymptomatic. On endoscopy, cavernous hemangiomas characteristically present as deep violet-blue nodular, compressible lesions that are associated with mucosal congestion and edema. Unfortunately chronic inflammatory changes often mask findings that could lead to proper diagnosis. The results of several kinds of treatment have not been satisfactory, although abdominoperineal resection is the most often recommended procedure. We report a case of relatively huge cavernous hemangioma of the colon that developed in an old aged patient with intermittent hematochezia. (Korean J Gastrointest Endosc 2004;28:47⁣51)
Key Words: Cavernous hemangioma, Colon, Rectum
주요어: 해면상 혈관종, 대장, 직장
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