Abdominal Imaging

, Volume 32, Issue 2, pp 239–242 | Cite as

Colitis cystica profunda: MRI appearance

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

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

Rectum Rectal prolapse Colitis cystica profunda Solitary rectal ulcer syndrome MRI 

References

  1. 1.
    Sunagawa H, Kinjyou T, Nagahama M, et al. (2005) Enteritis cystica profunda presenting as ileoileal intussusception in a child: report of a case. Surg Today 35(2):164–167PubMedCrossRefGoogle Scholar
  2. 2.
    Hulsmans FJ, Tio TL, Reeders JW, et al. (1991) Transrectal US in the diagnosis of localized colitis cystica profunda. Radiology 181(1):201–203PubMedGoogle Scholar
  3. 3.
    Levine DS (1987) “Solitary” rectal ulcer syndrome. Are “solitary” rectal ulcer syndrome and “localized” colitis cystica profunda analogous syndromes caused by rectal prolapse? Gastroenterology 92(1):243–253PubMedGoogle Scholar
  4. 4.
    Hizawa K, Iida M, Suekane H, et al. (1994) Mucosal prolapse syndrome: diagnosis with endoscopic US. Radiology 191(2):527–530PubMedGoogle Scholar
  5. 5.
    Kruger S, Noack F, Feller AC, et al. (2005) Colitis cystica profunda and giant inflammatory pseudopolyp in Crohn’s disease. Int J Colorectal Dis 20(4):383–284. Epub 2004 Nov 19PubMedCrossRefGoogle Scholar
  6. 6.
    Stark W (1766) Specimen septem histories et dissections dysentericorum exhibens (thesis). LeidenGoogle Scholar
  7. 7.
    Madigan MR, Morson BC (1969) Solitary ulcer of the rectum. Gut 10(11):871–881PubMedGoogle Scholar
  8. 8.
    du Boulay CE, Fairbrother J, Isaacson PG (1983) Mucosal prolapse syndrome: a unifying concept for solitary ulcer syndrome and related disorders. J Clin Pathol 36(11):1264–1268PubMedGoogle Scholar
  9. 9.
    Park HJ, Kim WH, Woo JS, et al. (1994) Solitary rectal ulcer syndrome. Yonsei Med J 35(2):223–230PubMedGoogle Scholar
  10. 10.
    Wang F, Frisbie JH, Klein MA (2001) Solitary rectal ulcer syndrome (colitis cystica profunda) in spinal cord injury patients: 3 case reports. Arch Phys Med Rehabil 82(2):260–261PubMedCrossRefGoogle Scholar
  11. 11.
    Li SC, Hamilton SR (1998) Malignant tumors in the rectum simulating solitary rectal ulcer syndrome in endoscopic biopsy specimens. Am J Surg Pathol 22(1):106–112PubMedCrossRefGoogle Scholar
  12. 12.
    Chapa HJ, Smith HJ, Dickinson TA (1981) Benign (solitary) ulcer of the rectum: another cause for rectal stricture. Gastrointest Radiol 6(1):85–88PubMedCrossRefGoogle Scholar
  13. 13.
    Goei R, Baeten C, Janevski B, et al. (1987) The solitary rectal ulcer syndrome: diagnosis with defecography. AJR Am J Roentgenol 149(5):933–936PubMedGoogle Scholar
  14. 14.
    Kiristioglu I, Balkan E, Kilic N, et al. (2000) Solitary rectal ulcer syndrome in children. Turk J Pediatr 42(1):56–60PubMedGoogle Scholar
  15. 15.
    Valenzuela M, Martin-Ruiz JL, Alvarez-Cienfuegos E, et al. (1996) Colitis cystica profunda: imaging diagnosis and conservative treatment: report of two cases. Dis Colon Rectum 39(5):587–590PubMedCrossRefGoogle Scholar
  16. 16.
    Kruger S, Noack F, Feller AC, et al. (2005) Colitis cystica profunda and giant inflammatory pseudopolyp in Crohn’s disease. Int J Colorectal Dis 20(4):383–384. Epub 2004 Nov 19PubMedCrossRefGoogle Scholar
  17. 17.
    Ertem D, Acar Y, Karaa EK, et al. (2002) A rare and often unrecognized cause of hematochezia and tenesmus in childhood: solitary rectal ulcer syndrome. Pediatrics 110(6):e79PubMedCrossRefGoogle Scholar
  18. 18.
    Marchal F, Bresler L, Brunaud L, et al. (2001) Solitary rectal ulcer syndrome: a series of 13 patients operated with a mean follow-up of 4.5 years. Int J Colorectal Dis 16(4):228–233PubMedCrossRefGoogle Scholar
  19. 19.
    Marchal F, Bresler L, Brunaud L, et al. (2001) Solitary rectal ulcer syndrome: a series of 13 patients operated with a mean follow-up of 4.5 years. Int J Colorectal Dis 16(4):228–233PubMedCrossRefGoogle Scholar

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

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