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Colitis Cystica Profunda

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]

Small ulcerations may be present on the overlying mucosa. The roentgen picture is one of an intraluminal nodular space-occupying lesion or lesions. Out-pouchings of barium may be present, suggesting ulceration. [pubs.rsna.org]

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]

Case presentation Herein, we describe a unique case of colitis cystica profunda in the setting of Peutz-Jeghers-type polyp of the sigmoid colon, associated with high-grade dysplasia of the overlying epithelium in a 48-year-old female patient, who presented [wjso.biomedcentral.com]

Gastrointestinal

  • Diarrhea

    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]

    A young man was debilitated by chronic mucus diarrhea and had diffuse cystic involvement of the distal colon. His symptoms were relieved by an end sigmoid colostomy, and he regained good health. [jamanetwork.com]

    Abstract A 57-year-old man presented to our hospital with a chief complaint of diarrhea. [jstage.jst.go.jp]

    The disease usually presents as a polypoid mass in the rectum associated with bloody or mucoid diarrhea and rectal tenesmus. [elsevier.es]

    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]

  • Rectal Mass

    Final histopathology (Figure 1C) was obtained after rectal examination under anesthesia with local resection of the mass, confirming the diagnosis of CCP. [journals.lww.com]

    Localized colitis cystica profunda is a rare, benign disease of the lower gastro-intestinal tract, usually presenting as a rectal mass and characterized microscopically by the presence of mucus-filled cysts in the submucosa. [ncbi.nlm.nih.gov]

    After this period she presented again intermittent hematochezia and a rectal mass that was surgically removed. The pathology report disclosed a colitis cystica profunda Palabras clave : Colitis; Colitis cystica profunda; Gastrointestinal hemorrhage. [scielo.conicyt.cl]

    After this period she presented again intermittent hematochezia and a rectal mass that was surgically removed. The pathology report disclosed a colitis cystica profunda. Biblioteca responsável: BR1.1 [pesquisa.bvs.br]

  • 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]

Urogenital

  • Anuria

    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]

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

    References Gonzalez R (2013) Colitis Cystica Profunda. Pathology outlines.com [2013 Aug] Guest CB, Reznick RK (1989) Colitis cystica profunda. Review of the literature. Dis Colon Rectum 32: 983-988. [oatext.com]

    […] of colitis cystica profunda only. [elsevier.es]

    Colitis cystica profunda Sample pathology report Rectum, mass, biopsy: Colitis cystica profunda Negative for dysplasia or malignancy. [pathologyoutlines.com]

    Colitis cystica profunda: a rare lesion of the colon. Can J Surg 1971;14:53–5. PubMed Google Scholar Peypoch JA. Profound cystic colitis: colitis cystica profunda. Am J Proctol 1973;24:137–41. [link.springer.com]

    Colitis cystica profunda has also been reported following radiation therapy and self-inflicted rectal trauma. [journals.lww.com]

Treatment

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]

Treatment of CCP is based on its symptoms; this includes- Conservative Treatment- This is preferred in patients who are mildly symptomatic. Treatment comprises a fiber diet, bulk laxatives, training for straining prevention, and anal digitation. [icliniq.com]

The type of treatment varies from surgical, medical, and endoscopic to no treatment at all. [ncbi.nlm.nih.gov]

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

Its diagnosis has to be confirmed histologically, and its etiology remains unclear. [ncbi.nlm.nih.gov]

We report a case of CCP in a patient with a history of anal masturbation, supporting an acquired traumatic etiology. Diagnosis was assisted by transrectal ultrasound. The patient was successfully treated by local excision. © 1994 S. [karger.com]

The etiology is unclear, with a few cases reported in the literature. The presenting symptoms and signs may mimic colorectal adenocarcinoma. [doaj.org]

Circumstantial evidence strongly suggests that colitis cystica profunda follows mucosal ulceration of varied etiologies and is probably due to submucosal entrapment of colonic glands following healing of ulceration. [journals.lww.com]

Epidemiology

[…] features Mucosal herniation into submucosa secondary to various forms of injury Bland histology distinguishes from a true invasive process Terminology Also called colitis cystica polyposa or hamartomatous inverted polyp when presents as polypoid lesion Epidemiology [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]

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