Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Intussusception due to Diverticulum of Ileocecal Area -A case report-

회맹부 게실에 의한 장중첩증 1례 보고

  • Kim, In-Cheol (Department of Pediatrics, Hallym University, Medical College) ;
  • Shin, Dae-Won (Department of Pediatrics, Hallym University, Medical College) ;
  • Choi, Yong-Jae (Department of Pediatrics, Hallym University, Medical College) ;
  • Bae, En-Joo (Department of Pediatrics, Hallym University, Medical College) ;
  • Lee, Kyeung-Ja (Department of Pediatrics, Hallym University, Medical College) ;
  • Ryu, Boung-Yoon (Department of Surgery, Hallym University, Medical College) ;
  • Cho, Ji-Woong (Department of Surgery, Hallym University, Medical College) ;
  • Choi, Kyung-Chan (Department of Pathology, Hallym University, Medical College)
  • 김인철 (한림대학교 소아과학교실) ;
  • 신대원 (한림대학교 소아과학교실) ;
  • 최용재 (한림대학교 소아과학교실) ;
  • 배은주 (한림대학교 소아과학교실) ;
  • 이경자 (한림대학교 소아과학교실) ;
  • 류병윤 (한림대학교 외과학교실) ;
  • 조지웅 (한림대학교 외과학교실) ;
  • 최경찬 (한림대학교 해부병리학교실)
  • Received : 2000.12.26
  • Accepted : 2001.02.26
  • Published : 2001.04.30
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Abstract

Intussusception is a frequent cause of bowel obstruction in the first five years of life and it is one of the most common surgical emergencies in infancy and early childhood. The age of five months child was administered in Department of Pediatrics of Chunchon Sacred Heart Hospital. His main symptoms were vomiting and high fever for three days. Abdominal sonography, air reduction and abdominal computerized tomography (CT) were performed and the conclusion of these study was intussusception due to cyst mass lesion; duplication cyst, mesenteric cyst or Meckel's diverticulum. He was transferred for operation. We had performed laparotomy for reduction of the intussusception. Operative findings revealed ileocolic type of intussusception due to cystic tumor on ileocecal valve that was invaginated into the cecum, and hyperplasia of the Peyer's patch were seen. But we failed manual reduction because of the tumor in the ileocecal area. So we had performed partial resection of the ileocecum. Diverticulum of the ileum was confirmed by pathologic examination. We experienced unusual cause of the intussusception. So we report this case with a review of the literatures.

저자들은 5개월 된 남아에게 장중첩증 원인으로 흔하지 않은 게실로 판명되었던 1례를 치험하여 문헌 고찰과 함께 보고하는 바이다.

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