초록 close

덮개 용종증은 주로 직장-구불 결장 문합부에 군집되어 나타나는 염증성 용종증으로, 용종의 표면에 육아종 조직으로 덮개를 형성하는 특징이 있다. 저자 등은 60세의 여자 환자가 배변과 관련된 복통과 후중감, 변비를 주소로 내원하여 대장 내시경에서 항문연 10 cm 상방의 직장 상부에 다수의 용종성 병변을 발견하고 특발성 염증성 장질환에 준하는 약물 치료에 반응이 없어 수술 후 증상이 소실되고 덮개 용종증으로 진단된 증례를 경험하여 문헌고찰과 함께 보고하는 바이다.


Cap polyposis is a rare condition, which is characterized by inflammatory polyp located mainly from the rectum to the sigmoid colon with a "cap"-coverage of granulation tissue. A 60-year-old woman with tenesmus, constipation, and abdominal pain visited our hospital. Colonoscopy showed variable sized multiple polypoid lesions limited in high rectum, mainly 10 cm distance from anal verge. No other abnormalities of colonic mucosa were seen beyond this area. Medical treatments including stool softner and oral steroid had a little symptomatic improvement. Because symptoms had been frequently recurred after withdrawal of these medications, surgical resection was intended for diagnosisand curative treatment. Resected specimen showed multiple inflammatory polyps with granulation cap. After the resection, the patient has been good at daily activity without evidence of symptomatic or endoscopic aggravation. (Korean J Gastrointest Endosc 2002;24:302-306)