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폴립으로 오인된 대장의 해면혈관종 1예

A Case of Colonic Cavernous Hemangioma Misdiagnosed as a Pedunculated Polyp

대한대장항문학회지 2009년 25권 2호 p.125 ~ 128
이금호, 함기백,
소속 상세정보
이금호 ( Lee Kun-Ho ) - 다니엘종합병원
함기백 ( Hahm Ki-Baik ) - 가천의과학대학교 소화기내과학교실

Abstract


Gastrointestinal hemangioma is a relatively uncommon benign vascular tumor that can occur anywhere in the astrointestinal tract. It is the second most common vascular lesion of the colon and a clinically important entity because of the possibility of massive hemorrhage when complicated. In gross appearance, hemangioma presents variously as a pedunculated, subpedunculated, or flat elevated lesion similar to a submucosal tumor. A typical case of hemangioma is relatively easy to diagnose because the lesion presents as translucent blue-purple vessels under the mucosa. However, it can be difficult to diagnose in some cases, especially if it does not have its usual characteristic color or is covered with normal mucosa. We incidentally found a colonic hemangioma that had the unusual appearance of a pedunculated polypoid lesion with normal mucos a. It was misdiagnosed as a pedunculated polyp with a long, thick neck and treated by using an endoscopic mucosal resection.

키워드

혈관종;대장;내시경적 점막절제술
Colon;Endoscopic mucosal resection

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