Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Multiple Gastric Duplication Cysts Presenting with Melena

흑색변을 보인 다발성 위 중복 낭종 1예

  • Kang, Seok-Hyung (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Shim, Ki-Nam (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Tae, Chung-Hyun (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Jung, Hye-Kyung (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Jung, Sung-Ae (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Lee, Sun-Wha (Department of Radiology, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Lee, Joo-Ho (Department of Surgery, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Sung, Sun-Hee (Department of Pathology, Ewha Medical Research Institute, Ewha Womans University School of Medicine)
  • 강석형 (이화여자대학교 의학전문대학원 내과학교실, 의과학연구소) ;
  • 심기남 (이화여자대학교 의학전문대학원 내과학교실, 의과학연구소) ;
  • 태정현 (이화여자대학교 의학전문대학원 내과학교실, 의과학연구소) ;
  • 정혜경 (이화여자대학교 의학전문대학원 내과학교실, 의과학연구소) ;
  • 정성애 (이화여자대학교 의학전문대학원 내과학교실, 의과학연구소) ;
  • 이선화 (이화여자대학교 의학전문대학원 영상의학교실, 의과학연구소) ;
  • 이주호 (이화여자대학교 의학전문대학원 외과학교실, 의과학연구소) ;
  • 성순희 (이화여자대학교 의학전문대학원 병리학교실, 의과학연구소)
  • Published : 2011.06.30
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Abstract

A gastric duplication cyst is a rare congenital anomaly. Among gastrointestinal duplication cysts, gastric duplication cyst account for only 3.8%. They tend to be symptomatic in early childhood, but asymptomatic during adulthood. So its diagnosis is incidental. Abdominal pain is the most common complaint in adults, and most cases are discovered incidentally by radiological examination or endoscopic gastroduodenoscopy. Preoperative diagnosis of gastric duplication cyst is difficult, and definitive diagnosis requires pathological examination of the lesion. So far, about 8 cases of gastric duplication cyst have been reported in adults in the Korean literature. We report here a case of multiple gastric duplication cysts presenting with melena in a 14-year-old man, which were detected by endoscopic gastroduodenoscopy, abdominal computed tomography and endoscopic ultrasonography. They were treated by complete excision of the multiple gastric duplication cysts by laparoscopic wedge resection.

위장관 중복 낭종은 드문 선천성 질환으로 위장관 어느 부위에나 발생하며, 위에서 발생하는 중복 낭종은 전체의 3.8% 정도를 차지한다. 유아기에서는 증상이 있으나, 그 이후에 발견되는 경우에는 무증상인 경우가 많다. 위 중복 낭종은 수술전의 진단이 어렵고 최종 진단을 위해서는 병변부의 조직검사가 필요하다. 본 저자들은 흑색변을 주소로 내원한 14세 남자에서 상부위장관 내시경, 복부 전산화 단층촬영 및 내시경 초음파검사로 분문부, 상부 위체부 대만부와 중부 위체부 대만부의 다발성 위 중복 낭종을 진단하고 복강경적 쐐기 절제술로 치료한 1예를 경험하여 보고한다.

Keywords

References

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