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Colonic ganglioneuroma

M C Bibro, R K Houlihan, D G Sheahan

    Archives of Surgery (Chicago, Ill. : 1960)
    |January 1, 1980
    PubMed
    Summary

    Ganglioneuromas, rare neuroectodermal tumors, can cause partial colonic obstruction. This case highlights their resemblance to carcinoma on imaging, emphasizing the need for accurate diagnosis.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Oncology

    Background:

    • Ganglioneuromas are rare neuroectodermal tumors.
    • They are uncommonly found in the colon.
    • Colonic ganglioneuromas can present as partial obstruction.

    Observation:

    • A patient presented with partial colonic obstruction.
    • Radiography revealed a napkin-ring sign, suggestive of carcinoma.
    • Surgical resection and pathological examination confirmed a ganglioneuroma.

    Findings:

    • This represents the second reported case of colonic ganglioneuroma presenting with obstruction.
    • The tumor mimicked colonic carcinoma clinically and radiographically.
    • Solitary neurogenic tumors, unassociated with syndromes, are rare.

    Implications:

    • Accurate diagnosis of colonic ganglioneuroma is crucial due to its rarity and presentation.
    • Distinguishing ganglioneuroma from colonic carcinoma is essential for appropriate patient management.
    • Further research into the pathogenesis and diagnostic modalities for rare gastrointestinal neurogenic tumors is warranted.

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