Skip to main content

Advertisement

SpringerLink
Log in

Localized giant pseudopolyposis of the colon in ulcerative colitis

  • Published:
Diseases of the Colon & Rectum

Abstract

Recently a patient with ulcerative colitis developed abdominal pain and a left upper quadrant mass. A67Ga-citrate scintiscan showed increased activity over the mass. A barium enema demonstrated retrograde obstruction at the splenic flexure and intraluminal multilobulated tissue masses. The total abdominal colectomy specimen showed localized giant pseudopolyposis at the splenic flexure. This condition is a rare local complication of both ulcerative and granulomatous colitis. It resembles a villous adenoma on barium enema and, although inflammatory, may simulate a colonic carcinoma. When symptomatic, local resection may be sufficient treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Martinez CR, Siegelman SS, Saba GP, Diaconis JN, Yardley JH. Localized tumor-like lesions in ulcerative colitis and Crohn's disease of the colon. Johns Hopkins Med J 1977;140:249–59.

    PubMed  CAS  Google Scholar 

  2. de Dombal FT, Watts JM, Watkinson G, Goligher JC. Local complications of ulcerative colitis: stricture, pseudopolyposis, and carcinoma of colon and rectum. Br Med J 1966;1:1442–7.

    Article  PubMed  Google Scholar 

  3. Bernstein JR, Ghahremani GG, Paige ML, Rosenberg JL. Localized giant pseudopolyposis of the colon in ulcerative and granulomatous colitis. Gastrointestinal Radiol 1978;3:431–5.

    Article  CAS  Google Scholar 

  4. Rheingold OJ, Tedesco FJ, Block FE, Maldonado A, Miale A Jr. [67Ga] citrate scintiscanning in active inflammatory bowel disease. Dig Dis Sci 1979;24:363–8.

    Article  PubMed  CAS  Google Scholar 

  5. Forde KA, Gold RP, Holck S, Goldberg MD, Kaim PS. Giant pseudopolyposis in colitis with colonic intussusception. Gastroenterology 1978;75:1142–6.

    PubMed  CAS  Google Scholar 

  6. Joffe N. Localised giant pseudopolyposis secondary to ulcerative or granulomatous colitis. Clin Radiol 1977;28:609–16.

    Article  PubMed  CAS  Google Scholar 

  7. Morris SJ, Greenwald RA, Tedesco FJ. Acute ulcerative colitis mimicking an obstructing carcinoma of the colon. Am J Gastroenterol 1978;70:194–6.

    PubMed  CAS  Google Scholar 

  8. Schneider R, Dickersin GR, Patterson JF. Localized giant pseudopolyposis. A complication of granulomatous colitis. Am J Dig Dis 1973;18:265–70.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Author notes

  1. T. R. Szydlowski M.D.

    Present address: , 618 Cornwall Road, Lebanon, Pennsylvania

Authors and Affiliations

  1. Naval Regional Medical Center, Box 693, 23708, Portsmouth, Virginia

    P. J. Kovalcik M.D. & T. R. Szydlowski M.D.

Authors
  1. P. J. Kovalcik M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. R. Szydlowski M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Kovalcik, P.J., Szydlowski, T.R. Localized giant pseudopolyposis of the colon in ulcerative colitis. Dis Colon Rectum 23, 268–270 (1980). https://doi.org/10.1007/BF02587098

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02587098

Key words

Search

Navigation