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Spontaneous colonic perforation: a rare complication of collagenous colitis
Authors:Jonathan Cottreau  Ryan Kelly  Trevor Topp  Andreu Costa  Emily R. Filter  Thomas Arnason
Affiliation:1.Dalhousie University Medical School,Halifax,Canada;2.Division of General Surgery,Queen Elizabeth II Health Sciences Centre,Halifax,Canada;3.Department of Diagnostic Imaging,Queen Elizabeth II Health Sciences Centre,Halifax,Canada;4.Division of Anatomical Pathology,Queen Elizabeth II Health Sciences Centre and Dalhousie University,Halifax,Canada
Abstract:Collagenous colitis is a clinicopathologic syndrome characterized by chronic watery diarrhea and unique histopathologic features. Spontaneous colonic perforation in the setting of collagenous colitis is a highly unusual complication, with only three cases reported in the literature to date. We present a fourth case and propose a potential pathologic mechanism for acute colonic perforation in this patient population.
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