Colonic obstruction due to giant inflammatory polyposis in a patient with ulcerative colitis

被引：0

作者：

Shinichiro Yada

Takayuki Matsumoto

Tetsuji Kudo

Minako Hirahashi

Takashi Yao

Ryuichi Mibu

Mitsuo Iida

机构：

[1] Kyushu University,Department of Medicine and Clinical Science, Graduate School of Medical Sciences

[2] Kyushu University,Department of Anatomic Pathology, Graduate School of Medical Sciences

[3] Kyushu University,Department of Surgery and Oncology, Graduate School of Medical Sciences

来源：

Journal of Gastroenterology | 2005年 / 40卷

关键词：

ulcerative colitis; giant inflammatory polyposis; filiform polyp; obstruction; toxic megacolon;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

A 32-year-old Japanese woman with a 14-month history of ulcerative colitis (UC), pancolitis type, was referred to our institution, because of abdominal distention. Plain abdominal X-ray and computed tomography (CT) showed marked dilatation of the right side of the colon. The patient was treated by immediate total colectomy, with the diagnosis of toxic megacolon. Macroscopically, there was a constricting lesion with giant polyposis in the middle part of the transverse colosn. Histologically, there was transmural inflammation with a thickened proper muscular layer overlaid by inflammatory polyposis. This case suggests that giant polyposis in UC patients may result in severe stenosis and that such a condition should not be misinterpreted as toxic megacolon or as colitic cancer.

引用

页码：536 / 539

页数：3