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Author 한성혁(Seong Hyeock Han),정규(Kyu Chung),김정욱(Jeong Wook Kim),김상진(Sang Jin Kim),장인택(In Taek Chang),김미경(Mi Kyung Kim),김재규(Jae Gyu Kim),박중원(Joong Won Park),장세경(Sae Kyung Chang),유병철(Byung Cheol Yoo),박실무(Sil Moo Park)
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Title 회장에 발생한 혈관근지방종 1예
Publicationinfo Korean J Gastroenterol 2000 Aug; 036(02): 250-254.
Key_word Angiomyolipoma, Ileum, Intussusception, 혈관근지방종, 회장, 장중첩증
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Angiomyolipoma is a mesenchymal hamartoma composed of blood vessels, smooth muscle, adipose tissue, and supporting connective tissue. It is occasionally associated with tuberous sclerosis. Most of angiomyolipoma arises in the kidney and gastrointestinal angiomyolipoma is very rare. We experienced a case of symptomatic ileal angiomyolipoma, which was the first documented case. A 60-year-old female was admitted to our hospital because of intermittent periumbilical pain. In the physical examination, slightly painful abdominal mass was palpated. Abdominal ultrasonography and computed tomography suggested intussusception. The patient underwent a segmental resectioin of the ileum. Postoperative gross finding showed 4×4×3 cm mass having yellowish resection plane without hemorrhage and necrosis in the terminal ielum. Microscopic fingings of the mass revealed intermixed adipose tissue, blood vessels, and smooth muscle bundles. Immunohistochemically, the proliferating smooth muscle cells were positive for vimentin. Pathologic findings confirmed the diagnosis of angiomyolipoma of ileum. (Kor J Gastroenterol 2000;36:250 - 254)
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