Colitis cystica profunda: Presenting with complete intestinal obstruction and recurrence

Colitis quística profunda recidivante

“…Una de las teorías sobre la fisiopatología de la CQP es que sea secundaria a procesos de cicatrización de la mucosa y se ha asociado principalmente a la enfermedad inflamatoria intestinal y a la úlcera rectal solitaria (2,3). La principal dificultad que encontramos ante estos pacientes es el distinguir la CQP de otros procesos que pueden requerir cirugía como los tumores malignos.…”

“…Mejorar el ritmo intestinal evitando el estreñi-miento con el uso de fibra mejora la clínica e induce la desaparición de las lesiones endoscópicas (4). La cirugía puede ser necesaria en casos de afectación general, falta de respuesta u obstrucción intestinal (2). Se ha descrito, como en el caso que describimos, la recidiva de las lesiones a nivel de la anastomosis (2,3).…”

Colitis Cystica Profunda Complicated by Complete Colorectal Obstruction

“…Most frequently, a solitary rectal or rectosigmoid mass develops that may have a papillary appearance, as in the presented patient, suggestive of either a neoplastic process or colonic pseudopolyps. In some patients with distal disease, rectal pro lap e may occur (12) and, very rarely, as recorded in one prior instance ( 13 ), complete intestinal obstruction may develop necessitating surgical decompression. In the current report, the presentation was dramatic with sigmoidorectal intussception of an apparent colonic papillary mass lesion; the gross appearance raised the possibility of a neoplastic complication of colitis, a common difficulty noted in the clinical and pathological literature ( 6,13).…”

“…In some patients with distal disease, rectal pro lap e may occur (12) and, very rarely, as recorded in one prior instance ( 13 ), complete intestinal obstruction may develop necessitating surgical decompression. In the current report, the presentation was dramatic with sigmoidorectal intussception of an apparent colonic papillary mass lesion; the gross appearance raised the possibility of a neoplastic complication of colitis, a common difficulty noted in the clinical and pathological literature ( 6,13). In some situations, resective surgery may not be easily avoided, especially if exclu ion of a malignant neoplasm becomes an issue.…”

Gastrointestinal Polyposis Syndromes

“…Reports describing adenomatous foci in juvenile polyps [61,67,[72][73][74] suggest that these polyps can undergo neoplastic change. Reports describing adenomatous foci in juvenile polyps [61,67,[72][73][74] suggest that these polyps can undergo neoplastic change.…”