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A Case of Enteritis Cystica Profunda Accompanied by a Lipoma in the Duodenal Bulb

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À̴뼺(Lee Dae-Sung) - ÇѾç´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
Á¤ÇØ·æ(Jeong Hae-Ryong) - ÇѾç´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
±èÁø¿Á(Kim Jin-Ok) - ÇѾç´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
ÅÂÇýÁø(Tae Hye-Jin) - ÇѾç´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
ÃÖÈ£¼ø(Choi Ho-Soon) - ÇѾç´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¾ÈÇýÀÎ(Ahn Hye-In) - ÇѾç´ëÇб³ Àǰú´ëÇÐ º´¸®Çб³½Ç
¹é½Â»ï(Paik Seung-Sam) - ÇѾç´ëÇб³ Àǰú´ëÇÐ º´¸®Çб³½Ç

Abstract

ECP´Â µå¹® ¾ç¼º ÁúȯÀ¸·Î ¾Ë·ÁÁ® ÀÖÀ¸¸ç ´ëºÎºÐ ´Ù¸¥ µ¿¹Ý ÁúȯÀÌ ÀÖ´Â °æ¿ì ¹ß°ßµÈ´Ù. ÀúÀÚµéÀÌ °æÇèÇÑ ½ÊÀÌÁöÀå ±¸ºÎ¿¡ ±æÀÌ 90 mmÀÇ ±â´Ù¶õ °ü»ó±¸Á¶ÀÇ Æú¸³¸ð¾ç º´º¯¿¡¼­ È®ÀÎµÈ ECP´Â Áö¹æÁ¾À» µ¿¹ÝÇÑ ¿¹·Î ¾ÆÁ÷±îÁö ±¹³»¿Ü¿¡¼­ Áõ·Ê¸¦ ã¾Æº¼ ¼ö ¾ø¾ú´Ù. À¯»çÇÑ ¿¹·Î ±¹¿Ü¿¡¼­ 1¿¹°¡ º¸°íµÇ¾úÁö¸¸ º» Áõ·Ê¿Í Â÷ÀÌÁ¡Àº ȸÀå¿¡¼­ ¹ß»ýÇÏ¿´°í ÀåÁßøÁõÀÇ ÇÕº´ÁõÀ» µ¿¹ÝÇÑ °æ¿ì¿´´Ù. ÀúÀÚµéÀº ±âÀú Áúȯ ¹× Áõ»óÀÌ ¾ø´Â ȯÀÚ¿¡¼­ ¿ì¿¬È÷ ¹ß°ßÇÑ ½ÊÀÌÁöÀ屸ºÎÀÇ ±â´Ù¶õ Æú¸³¸ð¾ç º´º¯ÀÇ ECP¿¡¼­ Áö¹æÁ¾À» µ¿¹ÝÇÑ ¿¹¸¦ °æÇèÇÏ¿´±â¿¡ À̸¦ º¸°íÇÑ´Ù.
Enteritis cystica profunda (ECP) is a very rare hyperplastic benign lesion of the small intestine. Histologically, it is characterized by mucin-filled cystic spaces frequently lined by benign epithelium within the submucosa and muscularis propria. ECP occurs much less frequently than gastritis cystica profunda (GCP) or colitis cystica profunda (CCP). It is most often seen in adults with Crohn¡¯s disease, Peutz-Jeghers syndrome, hamartomatous polyp, or congenital anomalies. We encountered a case of ECP (90 ¡¿ 15 mm) accompanied by an elongated lipoma in the duodenal bulb, in the absence of any other disease. An endoscopic polypectomy proved sufficient for diagnosing and treating the ECP. To our knowledge, this is the first reported case of ECP accompanied by a lipoma in the duodenal bulb in the absence of any other intestinal disease.

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½ÉÀ缺 ³¶Á¾¼º Àå¿°, Áö¹æÁ¾, ½ÊÀÌÁöÀå
Enteritis, Cysts, Duodenum, Lipoma
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DOI
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ICD 03
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