回腸腺管腺腫による腸重積症の1例 A CASE OF INTERSSUSCEPTION CAUSED BY ILEAL ADENOMA

Access this Article

Author(s)

Abstract

症例は76歳男性.便潜血反応陽性の精査で大腸鏡検査施行.回腸ポリープを指摘され来院.当院で施行した大腸鏡検査では小腸ポリープを先進とする腸重積状態が回盲部で観察された.注腸造影検査では回盲弁より約30cmの回腸に亜有茎性ポリープが描出された.病理組織学的所見では,大きさ35×25×19mmの表面分葉状のポリープで中等度異型を伴う腺管絨毛腺腫であった.回腸腺腫は比較的まれであり貴重な一例と考えられたので報告した.

The patient was a 76-year-old male in whom fecal occult blood test reaction and an ileal polyp found by colonoscopy (CF) . Endoscopic findings revealed, disclosed intussusception in the ascending colon resulting from progression of the polyp in the small intestine. X-ray examination showed a semipedunculated polyp in the ileum approximately 30cm from the ileocecal valve. Pathological findings showed the presence of a semipedunculated polyp (35 × 25 × 15 mm in diameter) with lobulated surface. Histological examination showed tubular adenoma with moderate atypia, but malignancy was not confirmed. Since ileal adenoma is comparatively rare, we consider this case to be a valuable one and report it here with a brief review of the relevant literature.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 36(4), 776-781, 1994

    Japan Gastroenterological Endoscopy Society

Codes

Page Top