Abdominal Imaging

, Volume 32, Issue 2, pp 239–242

Colitis cystica profunda: MRI appearance

  • Nagihan Inan
  • Arzu Serpil Arslan
  • Gür Akansel
  • Yonca Anik
  • Yesim Gürbüz
  • Melih Tugay
Article

DOI: 10.1007/s00261-006-9048-5

Cite this article as:
Inan, N., Arslan, A.S., Akansel, G. et al. Abdom Imaging (2007) 32: 239. doi:10.1007/s00261-006-9048-5

Abstract

Colitis cystica profunda (CCP) is an uncommon benign condition characterized by mucin-filled cysts located in the submucosa, frequently associated with the solitary ulcer and rectal prolapse syndromes. The diagnosis of this entity is important as it can mimic rectal cancer and therefore may result in unnecessary surgical resection. Endoscopic examination and barium enema findings are suggestive but not specific, neither are superficial biopsy findings. Transrectal ultrasound is helpful in the diagnosis by imaging the layers of the rectal wall. The authors report a 16-year-old male with a rectal lesion mimicking malignant mass on endoscopic examination. The lesion was defined as CCP, based on MR imaging findings which disclosed multiple noninfiltrating submucosal cysts, confirmed by histopathological examination. To our knowledge, this is the first case of CCP in the radiology literature describing MRI findings.

Keywords

RectumRectal prolapseColitis cystica profundaSolitary rectal ulcer syndromeMRI

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Nagihan Inan
    • 1
  • Arzu Serpil Arslan
    • 1
  • Gür Akansel
    • 1
  • Yonca Anik
    • 1
  • Yesim Gürbüz
    • 2
  • Melih Tugay
    • 3
  1. 1.RadiologyKocaeli University School of MedicineKocaeliTurkey
  2. 2.PathologyKocaeli University School of MedicineKocaeliTurkey
  3. 3.Paediatric SurgeryKocaeli University School of MedicineKocaeliTurkey