Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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A Case of Jejunal Juvenile Polyp Presented as Intussusception

장중첩증 증상을 보인 공장에 발생한 연소성 용종 1례

  • Kwon, Ki Beom (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Shin, Mee Yong (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Kwon, Kye Won (Department of Pathology, College of Medicine, Soonchunhyang University) ;
  • Park, Jae Ock (Department of Pediatrics, College of Medicine, Soonchunhyang University)
  • 권기범 (순천향대학교 의과대학 소아과학교실) ;
  • 신미용 (순천향대학교 의과대학 소아과학교실) ;
  • 권계원 (순천향대학교 의과대학 병리학교실) ;
  • 박재옥 (순천향대학교 의과대학 소아과학교실)
  • Received : 2004.11.19
  • Accepted : 2005.01.13
  • Published : 2005.04.15
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Abstract

Single or scattered sequential hamartomatous juvenile polyps are common in the large intestine, especially the rectosigmoid area, where they are usually nonfamilial. Juvenile polyps arising in the small inestine are very rare. Juvenile polyps are usually found in children aged between 1 and 10 years, the majority of cases are between 2 and 4 years of age. Bleeding is the most common symptom, but some children may suffer from autoamputation or prolapse through the anus, and rare cases are presented as intussusception. Approximately six cases of juvenile polyps in the small bowel have been reported. Jejunal intussusception arising from juvenile polyp is uncommon in comparison with the ileocolic form. It has an atypical subacute presentation. It must be better understood for its diagnosis can be made too late. Surgical exploration is the treatment of choice because of the recurrence of various clinical symptoms. We report a case of single juvenile polyp of jejunum found in a 10-year-old girl who presented with signs of intussusception.

연장아에게서 장중첩증의 소견을 보일 경우 원인 질환이 있는지 의심해야 하며, 원인 질환을 찾도록 노력하여야 한다. 저자들은 심와부 통증과 구토로 내원한 10세 여아에게서 장중첩증으로 발현된 공장에 발생한 연소성 용종 1례를 경험하였다.

Keywords

References

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