2.Intussusception Secondary to Jejunal Lymphangioma in a 13-year-old Girl.
Ho Sung PARK ; Ho LEE ; Woo Sung MOON ; Seung Chan LEE ; Woo Bong CHOI ; Hyun Woong CHOI
The Korean Journal of Gastroenterology 2007;49(4):256-259
Lymphangioma is a benign tumor composed of numerous small or large thin-walled lymphatic spaces. It shows a predilection for head, neck, and axilla. Jejunal lymphangioma in children is extremely rare. We present a case of 13-year-old girl with jejuno-jejunal intussusception secondary to lymphangioma in jejunum. To our knowledge, this is the second report of jejunal lymphangioma causing intussusception in a child.
Adolescent
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Female
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Humans
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Intussusception/*etiology/surgery
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Jejunal Diseases/*etiology/surgery
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Jejunal Neoplasms/*complications/*diagnosis/pathology
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Lymphangioma/*complications/*diagnosis/pathology
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Tomography, X-Ray Computed
3.Jejunal Intussusception with Gastrointestinal Bleeding Caused by Metastatic Lung Cancer.
Il Seon YUN ; Jee Young LEE ; Jae Sung LEE ; Ju Young LEE ; Jin Myung BYUN ; Eun Jung KIM ; Jin Young PARK ; Jean Kyung PARK
The Korean Journal of Gastroenterology 2008;51(6):377-380
Intestinal intussusception caused by metastatic tumor is uncommon. Symptomatic small bowel metastases from lung cancer have been rarely reported. Here we report a case of intussusception with gastrointestinal bleeding induced by jejunal metastasis of non-small cell lung cancer with a review of the literature. A 52-year-old man was admitted to our hospital because of melena. He had underwent right pneumonectomy and received systemic chemotherapy with radiotherapy for squamous cell lung cancer. Esophagogastroduodenoscopy and colonoscopy failed to reveal bleeding focus. Abdominal CT scan revealed jejunal intussusception and histologic examination of resected jejunum showed metastatic mass from lung cancer. In patients with small bowel obstruction and history of malignancies, possibility of small bowel metastatic tumor should be considered.
Gastrointestinal Hemorrhage/*etiology
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Humans
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Intussusception/*etiology/radiography/surgery
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Jejunal Diseases/*etiology/radiography/surgery
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Jejunal Neoplasms/complications/pathology/*secondary
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Lung Neoplasms/*complications/pathology/surgery
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Male
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Middle Aged
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Tomography, X-Ray Computed
4.Small Intestinal Perforation Caused by Primary Jejunal MALT Lymphoma.
Won Cheol JANG ; You Sun KIM ; Seong Woo HONG ; Yun Kyung KANG
The Korean Journal of Gastroenterology 2008;51(4):215-218
No abstract available.
Endoscopy, Digestive System
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Female
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Humans
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Intestinal Perforation/*diagnosis/etiology/surgery
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Jejunal Diseases/*diagnosis/etiology/surgery
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Jejunal Neoplasms/complications/*diagnosis/pathology
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Lymphoma, B-Cell, Marginal Zone/complications/*diagnosis/pathology
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Middle Aged
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Tumor Markers, Biological/analysis
5.Primary Malignant Fibrous Histiocytoma (MFH) of the Small Bowel Presenting as an Intussusception Causing Small Bowel Obstruction.
Ung RYU ; Byung Wook LIM ; Jea Wook ROH ; Sang Eun LEE ; Hyun Bae SOHN ; Jeon Ho YANG ; Kyung Ah KIM ; June Sung LEE ; Young Soo MOON ; Han Seong KIM ; Woo Jin LEE
The Korean Journal of Gastroenterology 2004;44(2):99-102
Adult intussusception secondary to primary sarcoma is a rare cause of small bowel obstruction. Only a few cases of malignant fibrous histiocytoma (MFH) of small bowel presenting as an intussusception have been reported in the literatures. We report a case of small bowel obstruction associated with jejuno-ileal intussusception caused by MFH. A 75-year-old man was admitted with an one-month history of vomiting and epigastric pain aggravated with meals. He was diagnosed as an jejuno-ileal intussusception based on CT scanning and underwent small bowel resection and anastomosis. Resected specimens revealed a polypoid tumor in the ileum and the histology of the tumor was consistent with MFH.
Aged
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English Abstract
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Histiocytoma, Fibrous/*complications/diagnosis
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Humans
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Ileal Diseases/*etiology
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Ileal Neoplasms/*complications/diagnosis
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Intussusception/*etiology
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Jejunal Diseases/*etiology
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Male
6.A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer.
Sang Wook CHOI ; Jin Mo YANG ; Sung Soo KIM ; Sung Ho KANG ; Hee Jeong RO ; Kyung Sup SONG ; Hyun Kwon HA ; Keun Woo LIM ; Jae Sung KIM
Journal of Korean Medical Science 1996;11(5):437-439
A rare case of gastric cancer associated with gastrojejunal and gastrocolic fistula is presented. A 56-year-old man who had been diagnosed with advanced gastric cancer(Borrmann's type III) 5 months previously was admitted due to watery diarrhea and frequent vomiting for 2 weeks. Fluoroscopic examination was visualized two abnormal passage of contrast medium from the stomach, one to the colon, and the other to the jejunum. Gastrofiberscopy revealed that the tumor on the great curvature of the body appeared to penetrate into the colon, while the other one on the antrum directly invaded into the jejunum. The patient was treated conservatively with total parenteral nutrition and pain control.
Case Report
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Colonic Diseases/complications/*pathology
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Endoscopy, Gastrointestinal
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Human
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Intestinal Fistula/complications/*pathology
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Jejunal Diseases/complications/*pathology
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Male
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Middle Age
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Stomach Neoplasms/*complications/pathology
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Support, Non-U.S. Gov't
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Tomography Scanners, X-Ray Computed
7.Intramural sparganosis manifested as intestinal obstruction: a case report.
Kyung Ja CHO ; Hyun Soon LEE ; Je G CHI
Journal of Korean Medical Science 1987;2(2):137-139
A case of intramural sparganosis of jejunum presenting as intestinal obstruction is described. Resected intestine from a 48 year old man with acute abdomen revealed a degenerated sparganum in the submucosa with typical tissue reaction and extensive edema. The tissue reaction was basically granulomatous, consisting of layers of inner palisading histiocytes and outer mononuclear cell infiltration. Many calcospherules were prominent within the degenerated worm. Eosinophil infiltration was scanty.
Granuloma/pathology
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Humans
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Intestinal Obstruction/*etiology
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Jejunal Diseases/etiology
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Male
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Middle Aged
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Sparganosis/*diagnosis
8.Jejunal Diverticular Bleeding Diagnosed by Double-Balloon Enteroscopy: A Case Report and Review of Literatures.
Won Gil CHUNG ; Hong Joo KIM ; Seok KIM ; Young Ghil CHOI ; Hyo Seon SEOK ; Do Young LEE ; Jung Ho PARK ; Seong Gwun KIM
The Korean Journal of Gastroenterology 2007;50(4):260-264
Jejunal diverticula is a rare disease and an unusual cause of obscure gastrointestinal hemorrhage. Obscure gasterointestinal bleeding is difficult to treat because the bleeding site cannot be identified by routine endoscopy and contrast studies. A wireless capsule endoscopy is not invasive and can visualize the entire small bowel. However, this method has limitations of incapability of taking biopsies and performing endoscopic interventions such as polypectomy or stent insertion. The double-balloon enteroscopy is being used frequently for the diagnosis and management of various small bowel diseases. We report a case of proximal jejunal diverticular bleeding diagnosed by double-balloon enteroscopy and treated with angiographic embolization.
Colonoscopy/*methods
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Diagnosis, Differential
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*Diverticulum
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Female
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Gastrointestinal Hemorrhage/*diagnosis
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Humans
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Jejunal Diseases/*pathology
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Middle Aged
9.A Case of Inflammatory Fibroid Polyp Presenting with Jejunal Bleeding.
Man Keun HWANG ; Jung Hun KIM ; Sang Won PARK ; Jae Bum PARK ; Chang Ik LEE ; Chang Gu LEE ; Jin Kwan LEE
The Korean Journal of Gastroenterology 2003;42(4):337-340
Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic examination was negative for any active bleeding lesions and abdominal angiography failed to localize the bleeding site as well. In contrast, computed tomography of the abdomen demonstrated a segmental wall thickening of the jejunum with a tumor-like mass lesion associated with dense contrast enhancement. Consistent with this, technetium 99m red blood cells scintigraphy exhibited red cell pooling at the right upper quadrant. On exploratory laparotomy, there was an active bleeding from the site of the jejunal tumor and a segmental resection was performed. Histologically, the tumor lesion of the jejunum was consistent with inflammatory fibroid polyp. Thus, we conclude that the tumor lesion was a cause of the gastrointestinal bleeding.
Adult
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Gastrointestinal Hemorrhage/*etiology
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Humans
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Intestinal Polyps/diagnosis/*pathology
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Jejunal Diseases/diagnosis/*pathology
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Male
10.High jejunal obstruction as a sequela of necrotizing enterocolitis.
Soon Ok CHOI ; Woo Hyun PARK ; Joong Shin KANG
Journal of Korean Medical Science 1991;6(2):183-186
A case of high jejunal obstruction due to stricture is reported. It is a rare form of late sequelae of neonatal necrotizing enterocolitis(NEC). Barium contrast study of the small bowel is recommended for earlier diagnosis and treatment before discharge from the hospital, even is an asympto-matic patient.
Child, Preschool
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Constriction, Pathologic
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Enterocolitis, Pseudomembranous/*complications
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Humans
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Intestinal Obstruction/*etiology/radiography/surgery
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Jejunal Diseases/*etiology/radiography/surgery
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Male