Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Isolated Small Bowel Metastasis of Endometrial Carcinoma with Resultant Jejunojejunal Intussusception: A Case Report

자궁내막암의 단독 소장 전이로 인해 유발된 공장-공장 장중첩증: 증례 보고

  • Yeon Jang (Department of Radiology, Korea Cancer Center Hospital, Korea Institue of Radiological and Medical Sciences) ;
  • Dong Hee Park (Department of Radiology, Korea Cancer Center Hospital, Korea Institue of Radiological and Medical Sciences) ;
  • Joon Seog Kong (Department of Pathology, Korea Cancer Center Hospital, Korea Institue of Radiological and Medical Sciences)
  • 장연 (한국원자력의학원 원자력병원 영상의학과) ;
  • 박동희 (한국원자력의학원 원자력병원 영상의학과) ;
  • 공준석 (한국원자력의학원 원자력병원 병리과)
  • Received : 2022.01.26
  • Accepted : 2022.05.28
  • Published : 2022.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

Endometrial carcinoma is a common gynecologic malignancy; however, metastasis to the small bowel is rare. Metastatic endometrial carcinoma usually occurs through local extension rather than distant metastasis. Isolated small bowel metastasis is extremely rare; further, intussusception with resultant intestinal obstruction is not common. We report the imaging findings of a patient with isolated small bowel metastasis of endometrial carcinoma with resultant jejunojejunal intussusception.

자궁내막암은 흔한 부인과암으로 소장으로의 전이는 드물며, 원격 전이보다 주변 장기로의 국소 침윤으로 발생한다. 자궁내막암이 다른 곳에 전이 소견 없이 단독으로 소장에 전이한 경우는 매우 드물다. 또한 성인에서 장중첩증은 드문 질환으로 이로 인해 장폐색이 발생하는 비율은 매우 낮다. 저자들은 자궁내막암 병기 IB로 수술 및 방사선 치료 후 경과관찰 중이던 환자에서 공장공장 장중첩증으로 인해 장폐색이 발생하였음을 소장 조영술 및 복부 전산화 단층촬영으로 진단하였고, 공장 국소절제술 후 자궁내막암의 단독 소장 전이로 확인하였던 증례를 문헌고찰과 함께 보고한다.

Keywords

References

  1. Kurra V, Krajewski KM, Jagannathan J, Giardino A, Berlin S, Ramaiya N. Typical and atypical metastatic sites of recurrent endometrial carcinoma. Cancer Imaging 2013;13:113-122
  2. Berek JS, Hacker NF. Uterine cancer. In Hacker NF, Friedlander ML, eds. Berek & Hacker's gynecologic oncology. 6th ed. Philadelphia: Wolters Kluwer 2015:390-442
  3. Donhauser JL, Kelly EC. Intussusception in the adult. Am J Surg 1950;79:673-677
  4. Reijnen HA, Joosten HJ, de Boer HH. Diagnosis and treatment of adult intussusception. Am J Surg 1989;158:25-28
  5. Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams gynecology. Endometrial cancer. 3rd ed. New York: McGraw-Hill Education 2016:702-721
  6. Pfaendler KS, Randall LM. Rapid progression of disease in two cases of undifferentiated endometrial carcinoma. Gynecol Oncol Rep 2019;27:65-68
  7. Jasti R, Carucci LR. Small bowel neoplasms: a pictorial review. Radiographics 2020;40:1020-1038
  8. Meyers MA. Clinical involvement of mesenteric and antimesenteric borders of small bowel loops. II. Radiologic interpretation of pathologic alterations. Gastrointest Radiol 1976;1:49-58
  9. Gimenez S, Raichholz G, Froullet C, Dumoulin S, de Koning HB, Sanudo JL. CT findings of small bowel neoplasms. Imagenes 2016;5:7-15
  10. Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics 2006;26:733-744