Concurrent Collagenous Gastritis and Collagenous Colitis: A Case Presentation and Review of the Literature

Hossein Ziaei1, Amirhossein Boghratian1,2, Masoudreza Sohrabi1

  • 1Gastrointestinal and liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran.

Insights

Simultaneous collagenous gastritis and collagenous colitis, a rare gastrointestinal disorder, were observed in a 31-year-old male. This case highlights an unusual co-occurrence of these distinct collagenous conditions.

Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Collagenous gastritis is a rare condition characterized by a thickened subepithelial collagen layer in the stomach.
  • Collagenous colitis is a distinct condition affecting the colon, also marked by subepithelial collagen deposition.

Observation:

  • A 31-year-old male presented with symptoms including dyspepsia, anemia, and weight loss.
  • Endoscopic examination revealed irregular gastric atrophy but a normal colon.

Findings:

  • Gastric biopsies confirmed the presence of collagenous gastritis, showing increased thickness and a subepithelial collagen band.
  • The patient exhibited simultaneous collagenous gastritis and collagenous colitis, an exceptionally rare presentation.

Implications:

  • This case underscores the possibility of co-occurring collagenous conditions in the upper and lower gastrointestinal tracts.
  • Further research may elucidate sharedPathogenic mechanisms or risk factors for simultaneous collagenous gastritis and colitis.

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