Related Experiment Videos
Colonic perforation in collagenous colitis: an unusual complication
Johan Bohr1, Lars-Göran Larsson, Sune Eriksson
1Department of Medicine, Division of Gastroenterology, Orebro University Hospital, Orebro, Sweden. johan.bohr@orebroll.se
European Journal of Gastroenterology & Hepatology
|January 14, 2005
Summary
Collagenous colitis, usually benign, can rarely lead to colonic perforation. This rare complication may be linked to mucosal tears, especially after procedures like barium enema.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Collagenous colitis is typically a benign condition.
- Serious complications are uncommon in collagenous colitis.
Observation:
- Two cases of collagenous colitis with colonic perforation are presented.
- One perforation occurred spontaneously, the other post-barium enema.
Findings:
- A literature review identified 13 total cases of collagenous colitis with colonic perforation.
- Most perforations (11/13) occurred after endoscopic procedures or barium enema.
- Surgical intervention was required for all but one patient.
Implications:
- This study highlights a rare but serious complication of collagenous colitis.
- A potential link between mucosal tears and colonic perforation in this condition is proposed.
- Further research into the pathogenesis of this complication is warranted.