대장에 발생한 낭종성 림프관종에 의한 장중첩증 1예 = A Case of Colonic Intussusception Caused by Cystic Lymphangioma of the Colon

국문 초록 (Abstract)

림프관종은 소아에서 흔히 발견되는 양성 종양이다. 많은 림프관종이 림프기관의 선천성 기형으로 발생하며 림프관 과오종으로 생각된다. 림프관종은 주로 두경부와 액와부에서 발견되며 소화기관 내에서 발견되는 경우는 흔하지 않다. 림프관종은 병리학적 특성에 따라 단순형, 해면상, 낭종성으로 나눌 수 있으며, 복강 내에서 발생하는 경우 대부분이 낭종성 림프관종으로 알려져 있다. 대장에서 점막하 종양의 형태로 발견되는 낭종성 림프관종은 그 빈도가 매우 적고, 단백상실성 장병증이나 장중첩증, 장관 폐쇄나 염전 등의 증상을 일으키기도 한다. 저자들은 32세 여자에서 대장의 낭종성 림프관종에 의한 장중첩증을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Lymphangioma is a benign tumor that is commonly found in children. Many lymphangiomas are congenital malfor- mations of the lymphatic system and they are considered to be lymphatic hamartomas. Lymphangiomas usually occur in the head, neck and axillary region, and they rarely occur in the gastrointestinal tract. Cystic lymphangioma is a rare cause of colonic submucosal masses. Lymphangioma of the colon has recently been diagnosed more frequently by performing colonoscopy and endoscopic ultrasonography. However, only a few cases of colonic intussusception due to lymphangioma have been reported in the literature. We experienced a case of intussusception that was caused by cystic lymphangioma of the colon, and we report here on the findings. (Korean J Gastrointest Endosc 2006;32:226-230)

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