Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Intussusception Caused by Meckel's Diverticulum with Heterotopic Pancreatic and Gastric Tissues

이소성 췌장과 위점막을 가진 멕켈 게실에 의한 장중첩증 1예

  • Kim, Mi Jin (Department of Pediatrics, College of Medicine, Chungnam National University) ;
  • Kim, Jae Young (Department of Pediatrics, College of Medicine, Chungnam National University) ;
  • Sul, Ji Young (Department of Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Dae Young (Department of Pathology, College of Medicine, Chungnam National University)
  • 김미진 (충남대학교 의과대학 소아과학교실) ;
  • 김재영 (충남대학교 의과대학 소아과학교실) ;
  • 설지영 (충남대학교 의과대학 일반외과학교실) ;
  • 강대영 (충남대학교 의과대학 해부병리학교실)
  • Received : 2006.01.31
  • Accepted : 2006.02.27
  • Published : 2006.03.01
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Abstract

Intussusception is a frequent cause of intestinal obstruction in early childhood and most are idiopathic in origin. In a minority of cases a definite pathological lead point is identified by imaging studying or during surgery. As the pathologic lead point of intussusception, Meckel's diverticulum is the most common lesion. In symptomatic patients, 40~60% of Meckel's diverticulum contain ectopic tissue, with gastric mucosa being far the most common type. A few Meckel's diverticulum contain pancreatic tissue. Combined heterotopic pancreatic and gastric tissues in the Meckel's diverticulum especially causing intussusception is extremely rare. We report the case of 5-year-old girl with an intussusception caused by Meckel's diverticulum containing both heterotopic gastric and pancreatic tissues.

저자들은 장중첩증의 관장 정복 후 입원 관찰 기간 동안에 2차례 더 재발한 장중첩증을 가진 5세여 아에서 복부 CT 촬영으로 선두를 확인하고 복강경으로 치료한 이소성위점막과 췌조직을 동시에 가진 멕켈 게실에 의한 장중첩증 1예를 경험하였기에 문헌 고찰과 함께 보고한다.

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