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Journal of the Korean Pediatric Society 1995;38(7):993-999.
Published online July 15, 1995.
Angiodysplasia Involving the Sigmoid Colon in Children
Jae Young Kim1, Kyung Won Hwang1, Young Ho Ahn1, Jin Bok Hwang1, Chang Ho Han1, Hae Lee Chung1, Young Dae Kwon1, Yong Jin Kim2
1Department of Pediatrics, Taegu Catholic University School of Medicine, Taegu, Korea
2Department of Pathology, Taegu Catholic University School of Medicine, Taegu, Korea
S상 결장에서 발견된 Juvenile Angiodysplasia 2례
김재영1, 황경원1, 안영호1, 황진복1, 한창호1, 정혜리1, 권영대1, 김용진2
1대구가톨릭대학교 의과대학 소아과학교실
2대구가톨릭대학교 의과대학 해부병리과학교실
Abstract
Angiodysplasia(AD) of the gastrointestinal(GI) tract in children is a very rare cause of bleeding and thought to be a distinct clinicopathologic entity distingishing from the classic adult-type AD by its different clinical settings and diverse histology. We report two cases of AD involving the sigmoid colon in children. The cases, 6-year-old girl and 11-year-old boy, were preoperatively suspected by colonoscopy and both were confir-med by postoperative pathologic examinations. They were not associated with angiomatous lesions of the skin or other viscera. They underwent an segmental resection of the part, based on the intraoperative endoscopic findings. Small hemorrhagic polypoid lesions, multiple pete-chiae and ulcers were noted grossly. Microscopically, they showed irregularly dilated vascular channels in the submucosa with a varying degree of hemorrhage in the lamina propria.. These cases are peculiar for their locations and developing ages. All cases were in good health without further bleeding after local resection.
Key Words: Angiodysplasia, Children, Sigmoid colon


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