대장내시경에서 다양한 모양을 보인 충수돌기 중첩증 |
김병욱ㆍ구자충ㆍ윤순만ㆍ채희복ㆍ박선미ㆍ윤세진ㆍ성노현* |
충북대학교 의과대학 내과학교실, *병리학교실 |
Appendiceal Intussusception Showing Various Shapes During a Colonoscopy |
Byeong Uk Kim, M.D., Ja Chung Goo, M.D., Soon Man Yoon, M.D., Hee Bok Chae, M.D., Seon Mee Park, M.D., Sei Jin Youn, M.D. and Ro Hyun Sung, M.D.* |
Departments of Internal Medicine and *Pathology, Chungbuk National University College of Medicine, Cheongju, Korea |
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Abstract |
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Appendiceal intussusception is a rare disease with variable clinical findings, ranging from acute appendicitis to chronic recurrent abdominal pain or rectal bleeding. Occasionally, it is incidentally discovered with no symptoms. Because a preoperative diagnosis is difficult, it can be diagnosed either after surgery, in the case of acute appendicitis, or after a polypectomy, based on being mistaken for a polyp. During a colonoscopy, an appendiceal intussusception should be suspected if the appendiceal orifice is not observed at the cecum and there is a polypoid lesion at the location where the appendiceal orifice is expected. Treatments are usually determined according to preceding diseases. It is important that the colonoscopist avoid careless endoscopic removal by mistaking the intussusception for a polyp. (Korean J Gastrointest Endosc 2011;42:118-123) |
Key Words:
Appendiceal intussusception |
주요어:
충수돌기 장중첩증 |
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