대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제81권4호
  • /
  • Pages.1008-1012
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  • 2020
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  • 1738-2637(pISSN)
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  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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하장간막동맥을 단독으로 침범한 섬유근형성이상으로 인한 허혈성 대장염: 증례 보고

Ischemic Colitis due to Fibromuscular Dysplasia Limited to the Inferior Mesenteric Artery: A Case Report

  • 박진희 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 권헌주 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 장경식 (성균관대학교 의과대학 강북삼성병원 병리과) ;
  • 강경아 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 김미성 (성균관대학교 의과대학 강북삼성병원 영상의학과)
  • Jin Hee Park (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Heon Ju Kwon (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kyung Seek Chang (Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kyung A Kang (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Mi Sung Kim (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2019.06.26
  • 심사 : 2019.10.18
  • 발행 : 2020.07.01
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초록

섬유근형성이상은 주로 신동맥, 경동맥의 협착이나 동맥류 형성을 유발하는 비죽상경화, 비염증성 동맥 질환으로, 드물게 내장동맥을 침범하며 다양한 양상으로 나타날 수 있다. 저자들은 66세 남자에서 하장간막동맥을 단독으로 침범한 섬유근형성이상으로 인해 좌결장동맥과 상직장동맥의 동맥류 및 허혈성 대장염으로 발현된 증례를 경험하여 보고하고자 한다.

Fibromuscular dysplasia is a nonatheromatous, noninflammatory arterial disorder that results in stenosis and/or aneurysm formation and rarely involves the mesenteric arteries. Herein, we report a case of fibromuscular dysplasia limited to the inferior mesenteric artery, which manifested with arterial aneurysms and ischemic colitis.

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참고문헌

  1. Stanley JC, Thompson NW, Fry WJ. Splanchnic artery aneurysms. Arch Surg 1970;101:689-697 https://doi.org/10.1001/archsurg.1970.01340300045009
  2. Hansraj N, Hamdi A, Wise ES, DiChiacchio L, Sarkar R, Toursavadkohi S. Open and endovascular management of inferior mesenteric artery aneurysms: a report of two cases. Ann Vasc Surg 2017;43:316.e9-316.e14 https://doi.org/10.1016/j.avsg.2017.04.014
  3. Olin JW, Froehlich J, Gu X, Bacharach JM, Eagle K, Gray BH, et al. The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation 2012;125:3182-3190 https://doi.org/10.1161/CIRCULATIONAHA.112.091223
  4. Bolen MA, Brinza E, Renapurkar RD, Kim ESH, Gornik HL. Screening CT angiography of the aorta, visceral branch vessels, and pelvic arteries in fibromuscular dysplasia. JACC Cardiovasc Imaging 2017;10:554-561 https://doi.org/10.1016/j.jcmg.2016.04.010
  5. Ko M, Kamimura K, Ogawa K, Tominaga K, Sakamaki A, Kamimura H, et al. Diagnosis and management of fibromuscular dysplasia and segmental arterial mediolysis in gastroenterology field: a mini-review. World J Gastroenterol 2018;24:3637-3649 https://doi.org/10.3748/wjg.v24.i32.3637
  6. Mitchell A, Caty V, Bendavid Y. Massive mesenteric panniculitis due to fibromuscular dysplasia of the inferior mesenteric artery: a case report. BMC Gastroenterol 2015;15:71
  7. Harrison EG Jr, McCormack LJ. Pathologic classification of renal arterial disease in renovascular hypertension. Mayo Clin Proc 1971;46:161-167
  8. Osborn AG, Anderson RE. Angiographic spectrum of cervical and intracranial fibromuscular dysplasia. Stroke 1977;8:617-626 https://doi.org/10.1161/01.STR.8.5.617
  9. Luscher TF, Lie JT, Stanson AW, Houser OW, Hollier LH, Sheps SG. Arterial fibromuscular dysplasia. Mayo Clin Proc 1987;62:931-952 https://doi.org/10.1016/S0025-6196(12)65051-4
  10. Hemp JH, Sabri SS. Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol 2015;18:14-23 https://doi.org/10.1053/j.tvir.2014.12.003