캡슐내시경으로 진단된 1형 신경섬유종증 환자의 만성 소장출혈 |
전병민·윤상정·김안나·양현웅·김창남*·김주헌†·박성규‡ |
을지대학병원 내과학교실, *외과학교실, †병리학교실, ‡배사랑내과 |
A Case of Chronic Recurrent Small Bowel Bleeding in Neurofibromatosis Type 1 Diagnosed by Capsule Endoscopy |
Byung Min John, M.D., Sang Jeong Yoon, M.D., Ana Kim, M.D., Hyun Ung Yang, M.D., Chang Nam Kim, M.D.,* Ju Hun Kim, M.D.† and Seong Kyu Park, M.D.‡ |
Departments of Internal Medicine, *General Surgery and †Pathology, Eulji University School of Medicine, Daejeon, ‡Baesarang Medical Clinic, Daejeon, Korea |
|
|
Abstract |
|
Small bowel diseases comprised of neoplasm, inflammatory disease, vascular abnormality, absorption dysfunction, and iatrogenic causes. Among those, vascular abnormality is perhaps the most important clinical disease entity. Obscure gastrointestinal bleeding accounts for 5% of chronic gastrointestinal bleeding, but conventional endoscopy and radiologic study may fail to diagnose the cause in certain cases. Patients with neurofibromatosis type 1 have a lot of gastrointestinal tumor, with a high incidence of small bowel involvement. We experienced a case presenting with chronic bleeding due to jejunal gastrointestinal stromal tumor diagnosed by capsule endoscopy in a seventy- two year old female patient with sporadic neurofibromatosis type 1. (Korean J Gastrointest Endosc 2005;31:5357) |
Key Words:
Neurofibromatosis, Capsule endoscopy, Gastrointestinal bleeding |
주요어:
신경섬유종증, 캡슐내시경, 위장관출혈 |
|
|