The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Colon Cancer with Ovarian Metastasis Mimicking Acute Diverticulitis

급성 게실염으로 오인된 진행성 대장암 1예

  • Yoon, Ji-Hyun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Jung-Soo (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Jung, Da-Hyun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Jie-Hyun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Young-Hoon (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Hyo-Jin (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Sang-In (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 윤지현 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 박정수 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 정다현 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 김지현 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 윤영훈 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 박효진 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 이상인 (연세대학교 의과대학 강남세브란스병원 내과)
  • Published : 2012.04.01
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Abstract

Colonic diverticulitis develops in 10-25% of patients with colonic diverticulosis. Most patients complain of lower abdominal pain and fever. The complications of diverticulitis are abscess, fistula, bowel obstruction, free perforation, and panperitonitis. The relationship between diverticulitis and colon cancer is complicated and conflicted. We report a 35-year-old woman diagnosed with metastatic colon cancer, who initially presented with acute colonic diverticulitis in the same location 3 months earlier. To the best of our knowledge, this is the first case of colon cancer with ovarian metastasis presenting as acute diverticulitis.

저자들은 복통 및 발열을 주소로 내원하여 시행한 복부 전산화 단층 촬영상 구불결장의 게실염 의심 소견을 보여 항생제 치료 후 증상 호전되어 퇴원한 여자 환자에서 퇴원 후 외래추적 중 복부 불편감 및 빈혈이 있어 시행한 복부 전산화 단층 촬영상 동일한 위치의 대장암 및 좌측 난소의 전이 의심 소견 보여, 대장내시경을 통한 조직검사상 대장암을 확진 받고 수술적 치료를 시행 받은 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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