원발성 장림프관 확장증 1예

• Published in: Taehan Sohwagi Naesigyŏng Hakhoe chi Vol. 19; no. 4; pp. 634 - 640
• Main Authors: 박근수, Geun Soo Park, 곽진영, Jin Young Kwak, 김준식, Joon Sik Kim, 권태찬, Tae Chan Kwon, 조윤정, Yun Jeong Jo
• Format: Journal Article
• Language: Korean
• Published: 대한소화기내시경학회 30.08.1999
• Subjects: Enteroliths; Meckel`s diverticulum
• ISSN: 1225-7001

The term enterolith refers to concretions formed within the gastrointestinal tract. Enteroliths are thought to result from stasis and are usually found proximal to an area of stricture or within diverticulum. Meckel's diverticulum occurs in 1% to 3% of the population at autopsy and is the most common congenital anomaly of the gastrointestinal tract. Common complications of Meckel's diverticulum include hemorrhage, infection, inflammation, and intussusception. However, enterolith formation in a Meckel's diverticulum, which referred to as Meckel's enterolith, is rare. A 58-year-old female who experienced constipation and low abdominal pain for 20 years, was admitted due to severe low abdominal pain for 3 days. A 3 2 cm sized, lozenge-shaped radiopaque stone with peripheral dense calcification and radiolucent center, located between two areas of stricture in the distal ileum, was observed in abdominal radiograph, abdominal sonogram, small bowel study, and CT scan. Pathologic findings after surgery reveal an enterolith in Meckel's diverticulum without ectopic gastric mucosa. The case of Meckel's enterolith is herein reported. (Korean J Gastrointest Endosc 19: 643∼649, 1999)