Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Mucinous Adenocarcinoma Arising within a Colonic Diverticulum Mimicking a Diverticular Abscess: A Case Report

게실 농양으로 오인할 수 있는 결장 게실에서 기인한 점액선암종: 증례 보고

  • Choi, Goun (Department of Radiology, Soonchunhyang University College of Medicine, Seoul Hospital) ;
  • Hwang, Jiyoung (Department of Radiology, Soonchunhyang University College of Medicine, Seoul Hospital) ;
  • Hong, Seong Sook (Department of Radiology, Soonchunhyang University College of Medicine, Seoul Hospital) ;
  • Kim, Jae Joon (Department of Surgery, Soonchunhyang University College of Medicine, Seoul Hospital) ;
  • Choi, In Ho (Department of Pathology, Soonchunhyang University College of Medicine, Seoul Hospital)
  • 최고운 (순천향대학교 의과대학 서울병원 영상의학과) ;
  • 황지영 (순천향대학교 의과대학 서울병원 영상의학과) ;
  • 홍성숙 (순천향대학교 의과대학 서울병원 영상의학과) ;
  • 김재준 (순천향대학교 의과대학 서울병원 외과) ;
  • 최인호 (순천향대학교 의과대학 서울병원 병리과)
  • Received : 2017.12.26
  • Accepted : 2018.03.20
  • Published : 2018.07.01
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Abstract

Colon cancer arising in a colonic diverticulum is very rare. There are only a few reported cases of colon cancer associated with a diverticulum. Of these reported cases, only a few are those of a mucinous adenocarcinoma. Here, we report a case of an 82-year-old female with a mucinous adenocarcinoma arising in the ascending colonic diverticulum, which clinically and radiologically mimicked perforated diverticulitis with abscess formation. Although such cases are rare, our findings suggest that malignant tumors may be misdiagnosed as diverticular diseases and should be considered during work-up.

결장 게실에서 기인하는 대장암은 매우 드물다. 게실과 연관된 대장암의 보고된 사례는 소수에 불과하다. 이 보고된 사례 중 소수만이 점액선암종이었다. 저자들은 상행 결장 게실에서 점액선암종이 발생한 82세 여자 환자에서 임상적 및 영상의 학적으로 농양을 형성한 천공성 게실염으로 오인된 증례를 경험하였기에 보고하는 바이다. 이 증례는 비록 드물지만, 악성 종양을 게실 질환으로 오인할 수 있으므로 진단 중에 주의를 기울여야 함을 시사한다.

Keywords

References

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