Gastrointestinal Radiology

, Volume 6, Issue 1, pp 145–149 | Cite as

Colonic “urticaria” pattern due to early ischemia

  • Howard M. Greenberg
  • Henry I. Goldberg
  • Leon Axel


The unusual radiographic pattern of bleblike mounds on the surface of the colon mucosa, previously described as colonic urticaria, was seen in 3 patients in whom no allergic state was present. This urticaria-like pattern was due to colonic distention in all 3, and represented only submucosal edema on the gross and microscopic specimens. We hypothesize that this pattern is due to early changes of ischemia caused by colon distention.

Key words

Colon, urticaria Colitis, ischemia 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Boley SJ, Schwartz SS: Ischemic origin of ulcerating colitis associated with potentially obstructing lesions of the colon.Radiology 102:249–252, 1972PubMedGoogle Scholar
  2. 2.
    Berk RN, Millman SJ: Urticaria of the colon.Radiology 99:539–540, 1971PubMedGoogle Scholar
  3. 3.
    Boley SJ Schwartz SS Williams LF (eds):Vascular Disorders of the Intestine. Appleton-Century-Crofts, New York, 1971Google Scholar
  4. 4.
    Glatzer A, Phil B: Experimental obstructuve colitis.Arch Surg 92:1–8, 1966PubMedGoogle Scholar
  5. 5.
    Brown RA, Chiu CJ, Scott HJ, Gurd FN: Ultrastructural changes in the canine ileal mucosal cell after mesenteric arterial occlusion.Arch Surg 101:290–297, 1970PubMedGoogle Scholar
  6. 6.
    Boley SJ, Agrawal G, Warren A, Veith FJ, Levowitz B, Trieiber W, Dougherty J, Schwartz S, Gliedman M: Pathophysiologic effects of bowel distension on intestinal blood flow.Am J Surg 117:228–234, 1969PubMedGoogle Scholar
  7. 7.
    Whitehead R: The pathology of ischemia of the intestine.Pathol Annu 11:1–52, 1976PubMedGoogle Scholar
  8. 8.
    Saegesser F, Sandblom P: Ischemic lesions of the distended colon: a complication of obstructive colorectal cancer.Am J Surg 129:309–315, 1975PubMedGoogle Scholar
  9. 9.
    Yousefzadeh DK, Teplick JG: Uticaria of the colon.Radiology 132:315–316, 1979PubMedGoogle Scholar
  10. 10.
    Allen AC: The vascular pathogenesis of enterocolitis of varied etiology. In SJ Boley SS Schwarz LF Williams (eds):Vascular Disorders of the Intestine pp 57–102. Appleton-Century-Crofts, New York, 1971Google Scholar

Copyright information

© Springer-Verlag New York Inc 1981

Authors and Affiliations

  • Howard M. Greenberg
    • 1
  • Henry I. Goldberg
    • 1
  • Leon Axel
    • 1
  1. 1.Department of RadiologyUniversity of California Medical CenterSan FranciscoUSA

Personalised recommendations