Presentation
Clinical presentation: we present a case of colitis cystica profunda in a man known to have diverticulosis. Persistent left lower quadrant pain was his only presentation. [oatext.com]
The patient presented with intestinal obstruction due to a polypoid mass in the descending colon, which was diagnosed as colitis cystica profunda after the patient underwent colectomy. [ncbi.nlm.nih.gov]
Ulcers may be multiple Granulation tissue in high lamina propria Thickened, disorganized muscularis mucosae with extension into lamina propria Smooth muscle surrounds individual crypts Elastosis may also surround crypts Not normally present in lamina [surgpathcriteria.stanford.edu]
Table I lists the presenting signs and symptoms in the fifty-two known cases of colitis cystica profunda. The predominant presenting complaints are bright red rectal bleeding and excessive mucus discharge. [kundoc.com]
Entire Body System
- Chills
She had no fever, chills, rectal bleeding, or nausea, but had occasional vomiting. She had no family history of any colorectal disease. Laboratory tests for complete blood count, blood chemistry, liver function, stool, and tumor markers were normal. [docksci.com]
Respiratoric
- Aspiration
We performed colonoscopy with endoscopic ultrasound and fine needle aspiration and snare polypectomy. [journals.lww.com]
A biopsy and EUS-guided fine needle aspiration (FNA) failed to yield findings allowing a definitive diagnosis to be made. [jstage.jst.go.jp]
Pathologic analysis of a deeply biopsy specimen and EUS guided‑fine needle aspiration (EUS‑FNA) was inconclusive. Instead, we performed endoscopic submucosal dissection (ESD) of one lesion to obtain a complete tissue sample. [docksci.com]
Pathologic analysis of a deeply biopsy specimen and EUS guided-fine needle aspiration (EUS-FNA) was inconclusive. Instead, we performed endoscopic submucosal dissection (ESD) of one lesion to obtain a complete tissue sample. [ncbi.nlm.nih.gov]
Gastrointestinal
- Diarrhea
A less severe disorder, known as irritable bowel syndromeirritable bowel syndrome (IBS), condition characterized by constipation, diarrhea, or alternating constipation and diarrhea in the absence of any disease process. [encyclopedia2.thefreedictionary.com]
Colitis cystica profunda is a rare, benign, non-neoplastic condition which usually presents as a mass in the rectum associated with bloody, mucoid diarrhea. [ncbi.nlm.nih.gov]
[…] damage due to ulcerative colitis, Crohn disease, radiation, diverticulitis or other inflammation / ulceration of bowel; mucus follows granulation tracts to involve large areas of bowel Clinical features Stools contain blood or mucus; patients may have diarrhea [pathologyoutlines.com]
Case Description/Methods: A 58-year-old male with a history of chronic alcohol use presented with worsening nausea, vomiting, and non-bloody diarrhea for two weeks. [journals.lww.com]
- Acute Abdomen
At physical examination, he was dehydrated with severe abdominal pain, tachycardia and tachypnea, abdominal distention, without bowel sounds, "wood abdomen" with clearly acute abdomen signs, and anuria for 48 h. [go.gale.com]
The use of multidetector-row CT scans, thin sections, and high-quality portal venous phase scans are advantageous for providing greater accuracy in the detection of ischemia, as well as for diagnosing other causes of acute abdomen, such as perforation [emedicine.medscape.com]
- Pruritus Ani
Pruritus Ani Coperland, S. M. The etiology and therapy of pruritus ani. J. Kentucky M. A., 70: 300-303, 1972. Re~onal Enteritis (See Section on Colitis-Granulomatous ([Ileocolitis] [Crohn's Disease] ) Research and Experimental Studies Hall, M. [vdocuments.us]
Workup
Provides all the necessary tools to make a comprehensive diagnostic workup including data from ancillary techniques and molecular findings whenever appropriate. [books.google.com]
She was assessed initially in another specialist centre and after a pelvic floor workup, a stapled transanal rectal resection was planned to correct a symptomatic high grade internal rectal prolapse. [publishing.rcseng.ac.uk]
Colonoscopy
- Colitis
Virchow named the condit ion "colitis cystica polyposa." The entity was later called colitis cystica profunda in order to separate it from colitis cystica superficialis, a condition in which mucous cysts were confined to the mucosa of the intestine. [docslide.com.br]
"Colitis cystica profunda.". Turk J Gastroenterol 18 (3): 206-7. PMID 17891698. ↑ 2.0 2.1 2.2 Kayaçetin, E.; Kayaçetin, S.. "Colitis cystica profunda simulating rectal carcinoma.". Acta Chir Belg 105 (3): 306-8. [librepathology.org]
Colitis cystica profunda. J Pathol Bacteriol I957:73:33-42. 8. Epstein SE, Ascari WQ, Ablow RC, Seaman WB. Lattes R. Colitis cystica profunda. AmJ Clin Pathol 1966;45:186-201. 9. Wayte DM, Helwig EB. Colitis cystica profunda. [dokumen.tips]
Fechner RE: Polyp of the colon possessing features of colitis cystica profunda. Dis Colon Rectum 10: 359. 1967. 14. Ghani A: Colitis cystica profunda. Br J Surg 57: 596, 1970. 15. Grant KB, Roller GJ: Colitis cystica profunda. [kundoc.com]
Treatment
Stuart M: Proctitis cystica profunda: incidence, etiology, and treatment. Dis Colon Rectum 1984, 27 :153–156. PubMed CrossRef Google Scholar 17. [link.springer.com]
The type of treatment varies from surgical, medical, and endoscopic to no treatment at all. [ncbi.nlm.nih.gov]
Currently, it is recommended to initiate medical treatment with high-fiber diet to correct constipation and glucocorticoid enemas. In most cases, symptomatic treatment may suffice. [elsevier.es]
Prognosis
LM mucin filled cysts in submucosa or deeper LM DDx well-differentiated colorectal adenocarcinoma, mucinous adenocarcinoma Site colon and rectum, usu. distal Associated Dx cap polyposis Prevalence very rare (case reports) Endoscopy polypoid lesion(s) Prognosis [librepathology.org]
With the correct pathological diagnosis, a better treatment with excellent prognosis could have resulted. [translsurg.com]
With the correct pathological diagnosis, a better treatment with excellent prognosis could have resulted. Introduction Colitis cystica profunda is a rare benign disease, generally localized to the colon and rectum. [go.gale.com]
Etiology
Colitis cystica profunda (CCP) is a rare benign condition with a controversial etiology. We report a case of CCP in a patient with a history of anal masturbation, supporting an acquired traumatic etiology. [ncbi.nlm.nih.gov]
Clinical pattern, etiology and diagnosis are described with reference to a personal case and 84 cases in the literature. It is emphasized that cancer must be ruled out (i.e rectal amputation is unnecessary in cystic colitis. [unboundmedicine.com]
We reviewed the literature and compared the clinical features, etiology, and macroscopic findings. The pathogenesis of the lesion may be related to repeated ulceration and regeneration, while chronic colonic ischemia may also play a role. [hub.hku.hk]
Epidemiology
Definition / general Reactive mucosal change characterized by submucosal mucin filled cysts lined by benign epithelium Terminology Also called colitis cystica polyposa or hamartomatous inverted polyp when presents as polypoid lesion Epidemiology Uncommon [pathologyoutlines.com]
Epidemiological evidence has shown that a diet high in fat and low in fruits, vegetables, and fiber contributes to the ..... Click the link for more information.. Colitis inflammation of the colon. [encyclopedia2.thefreedictionary.com]
Rothman, N., 2001: Collection of genomic DNA from adults in epidemiological studies by buccal cytobrush and mouthwash Kikuchi, S.; Satoh, K.; Nagata, T.; Kawagashira, N.; Doi, K.; Kishimoto, N.; Yazaki, J.; Ishikawa, M.; Yamada, H.; Ooka, H.; Hotta [eurekamag.com]
Epidemiology and Demographics The condition is thought to be uncommon. It usually occurs in young adults, but children can be affected too. [1] Causes The essential cause of SRUS is thought to be related to too much straining during defecation. [wikidoc.org]
Pathophysiology
[…] polyposa or hamartomatous inverted polyp when presents as polypoid lesion Epidemiology Uncommon; male predilection Sites Can occur anywhere in GI tract, including stomach ("gastritis cystica profunda") and small intestine ("enteritis cystica profunda") Pathophysiology [pathologyoutlines.com]
Anorectal physiology studies may help to elucidate the underlying pathophysiology such as solitary rectal ulcer. However, only in 54% of localized CCP cases were found to suffer from rectal prolapse [1, 8]. [wjso.biomedcentral.com]
Prevention
It is important to establish the correct diagnosis for this condition in order to prevent added investigations, worsening morbidity and higher care cost. [oatext.com]
To prevent unnecessary radical operations, importance of histological differenciation of colitis cystica profunda, especially, from well-differentiated adenocarcinoma was stressed. [jstage.jst.go.jp]
The prevention of gastrointestinal infections, the treatment of diseases of the alimentary canal, and proper diet are helpful in preventing the occurrence of the condition. REFERENCES Men’shikov, F. K. Bolezni kishechnika. Moscow, 1962. [encyclopedia2.thefreedictionary.com]
Awareness of the entity on the part of surgeons and pathologists will prevent needless radical surgery. Full Text Download PDF Full Text Cite This Citation Ballas M, Nunez L, Miller EM. Localized Colitis Cystica Profunda. [jamanetwork.com]