DOI QR코드

DOI QR Code

천공으로 발현된 소아 환자에서의 장 신경절신경종증: 증례 보고와 문헌 고찰

Intestinal Ganglioneuromatosis in a Pediatric Patient Presenting as Perforation: A Case Report and Literature Review

  • 이님 (이화여자대학교 의과대학 이화여자대학교 목동병원 영상의학과) ;
  • 조현혜 (이화여자대학교 의과대학 이화여자대학교 목동병원 영상의학과) ;
  • 조민선 (이화여자대학교 의과대학 이화여자대학교 서울병원 병리학과)
  • Nim Lee (Departments of Radiology, Medical Research Institute, College of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Hyun-Hae Cho (Departments of Radiology, Medical Research Institute, College of Medicine, Ewha Womans University Mokdong Hospital) ;
  • Min-Sun Cho (Departments of Pathology, Medical Research Institute, College of Medicine, Ewha Womans University Seoul Hospital)
  • 투고 : 2021.03.27
  • 심사 : 2021.07.17
  • 발행 : 2022.05.01

초록

장 신경절신경종증은 특히 소아 환자에서 매우 드물며 특히 질병의 영상의학적 소견에 대한 보고가 부족하다. 이에 저자들은 이 질환의 드문 초기 증상인 장 천공을 동반한 횡행 및 비장굴곡의 결장을 포함하는 장 신경절신경종증의 소아 사례를 제시한다.

Intestinal ganglioneuromatosis is an extremely rare condition, particularly in pediatric patients, and the imaging features of the disease have been rarely reported before. Herein, we present a pediatric case of intestinal ganglioneuromatosis involving the transverse colon and splenic flexure with bowel perforation, which is a rare initial manifestation of the disease.

키워드

참고문헌

  1. Iwamuro M, Omote R, Tanaka T, Sunada N, Nada T, Kondo Y, et al. Diffuse intestinal ganglioneuromatosis showing multiple large bowel ulcers in a patient with neurofibromatosis type 1. Intern Med 2017;56:3287-3291
  2. Vinitsky A, Zaleski CA, Sajjad SM, McPherson EW. Intestinal ganglioneuromatosis: unusual presentation of Cowden syndrome resulting in delayed diagnosis. Am J Med Genet A 2013;161A:1085-1090
  3. Mitra S, Mukherjee S, Chakraborty H. Isolated ileal ganglioneuromatosis in an 11-year-old boy: case report and review of literature. Indian J Pathol Microbiol 2016;59:365-367
  4. Fernandes A, Ferreira AM, Serra P, Carvalho L. Intestinal ganglioneuromatosis: an unusual aetiology for occult gastrointestinal bleeding. BMJ Case Rep 2015;2015:bcr2015211764
  5. AHmad Z, Khan R, Barakzai A, Ahmed A, Qureshi A. Diffuse ganglioneuromatosis of intestine in a 15-year-old girl. BMJ Case Rep 2011;2011:bcr0420114151
  6. Thway K, Fisher C. Diffuse ganglioneuromatosis in small intestine associated with neurofibromatosis type 1. Ann Diagn Pathol 2009;13:50-54
  7. Kilincalp S, HamamcI M, Akinci H, Coban S,, Koksal A,S, Yuksel I. Double-balloon enteroscopy for the detection of diffuse small-bowel polypoid ganglioneuromatosis mimicking Crohn's disease in a patient with von Recklinghausen disease. Endoscopy 2015;47 Suppl 1 UCTN:E4-E5
  8. Kim TJ, Lim H, Kang HS, Moon SH, Kim JH, Park CK, et al. Diffuse ganglioneuromatosis of the colon presenting as a large subepithelial tumor in adults: report of two cases. Korean J Gastroenterol 2015;66:111-115
  9. Charagundla SR, Levine MS, Torigian DA, Campbell MS, Furth EE, Rombeau J. Diffuse intestinal ganglioneuromatosis mimicking Crohn's disease. AJR Am J Roentgenol 2004;182:1166-1168
  10. Matthews MA, Adler BH, Arnold MA, Kumar S, Carvalho R, Besner GE. Diffuse intestinal ganglioneuromatosis in a child. J Pediatr Surg 2013;48:1129-1133