Occult dysplasia in a localized giant pseudopolyp in Crohn’s colitis: A case report
AUTOR(ES)
Wyse, Jonathan
FONTE
Pulsus Group Inc
RESUMO
Localized giant pseudopolyposis of the colon (pseudopolyp larger than 1.5 cm in size) is a rare complication of inflammatory bowel disease. There is one report of an occult carcinoma within such a lesion, and no reports of sole dysplasia. A case of a 42-year-old man with longstanding Crohn’s colitis who underwent a colonoscopy revealing a large, multilobulated mass at the splenic flexure that was not amenable to endoscopic removal, is described. Multiple biopsies showed no dysplasia and histology was consistent with an inflammatory pseudopolyp. Computed tomographic colonography demonstrated a mass resembling a large villous tumour. A decision for surgery was made. The surgical specimen was a complex anastomosing inflammatory pseudopolyp 5 cm × 4 cm × 3 cm in size, with a focus of low-grade dysplasia in an area free of inflammation.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2722464Documentos Relacionados
- Penile Crohn's disease: a case report.
- Cytomegalovirus infection in Crohn's colitis
- Colonic tuberculosis mimicking Crohn's disease: case report
- Bone mineral density is reduced in patients with Crohn's disease but not in patients with ulcerative colitis: a population based study.
- Rectal biopsy as a prognostic guide in Crohn's colitis.
