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Published on: October 16, 2013
Acute onset collagenous colitis with unique endoscopic findings
Rintaro Moroi1, Katsuya Endo1, Masatake Kuhroha1
1Division of Gastroenterology, Department of Internal Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai 980-8574, Japan.
A rare case of acute collagenous colitis (CC) in a 72-year-old woman was triggered by lansoprazole, presenting with unusual symptoms like melena. Colonoscopy is crucial for differentiating this from ischemic colitis.
Area of Science:
- Gastroenterology
- Colorectal Diseases
- Drug-Induced Conditions
Background:
- Collagenous colitis (CC) is a rare condition often presenting with chronic watery diarrhea.
- Acute onset of CC is uncommon, and symptoms can mimic other gastrointestinal disorders.
Purpose of the Study:
- To report a rare case of acute collagenous colitis induced by lansoprazole.
- To highlight the diagnostic utility of colonoscopy in differentiating acute CC from ischemic colitis.
Main Methods:
- Case report of a 72-year-old woman with acute onset gastrointestinal symptoms.
- Colonoscopic examination revealing active "long liner" ulcers.
- Observation of the healing process of the observed colonic findings.
Main Results:
- The patient presented with acute abdominal pain, watery diarrhea, and melena, atypical for CC.
- Colonoscopy identified characteristic active "long liner" ulcers.
- The observed lesions demonstrated a healing course.
Conclusions:
- Collagenous colitis can present with acute symptoms, mimicking ischemic colitis.
- Colonoscopy is essential for accurate diagnosis and differentiation between acute CC and ischemic colitis.
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