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Colitis cystica profunda.

P Dewandel1, T Schraepen, D Vanbeckevoort

  • 1Department of Radiology, University Hospitals K.U. Leuven, Belgium.

JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
|April 20, 2006
PubMed
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Colitis cystica profunda, a rare condition, can mimic inflammatory bowel disease symptoms. This case highlights its diagnosis through imaging and endoscopy, leading to successful surgical treatment.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pathology

Background:

  • Inflammatory bowel disease (IBD) presents with diverse gastrointestinal symptoms.
  • Colitis cystica profunda (CCP) is a rare, benign condition characterized by cystic and gland spaces within the colonic wall.

Observation:

  • A 39-year-old woman with IBD presented with abdominal pain and diarrhea.
  • Abdominal ultrasound showed descending colon wall thickening.
  • Endoscopy revealed mucosa-covered nodules and substenosis, with a narrowed transition zone on barium enema.

Findings:

  • Resection specimen confirmed the diagnosis of colitis cystica profunda.
  • Imaging findings included descending colon wall thickening, nodular mucosa, and barium spots.

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Implications:

  • CCP can present symptomatically similar to IBD, necessitating thorough differential diagnosis.
  • Accurate diagnosis through imaging and pathological examination is crucial for appropriate management.
  • Surgical intervention proved effective for this patient's CCP, leading to an uneventful recovery.