Localized giant pseudopolyposis of the colon in ulcerative colitis |
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Authors: | Dr P J Kovalcik MD T R Szydlowski MD |
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Institution: | (1) Present address: 618 Cornwall Road, Lebanon, Pennsylvania;(2) Naval Regional Medical Center, Box 693, 23708 Portsmouth, Virginia |
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Abstract: | Recently a patient with ulcerative colitis developed abdominal pain and a left upper quadrant mass. A67Ga-citrate scintiscan showed increased activity over the mass. A barium enema demonstrated retrograde obstruction at the splenic
flexure and intraluminal multilobulated tissue masses. The total abdominal colectomy specimen showed localized giant pseudopolyposis
at the splenic flexure. This condition is a rare local complication of both ulcerative and granulomatous colitis. It resembles
a villous adenoma on barium enema and, although inflammatory, may simulate a colonic carcinoma. When symptomatic, local resection
may be sufficient treatment. |
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Keywords: | Colitis ulcerative Colon pseudopolyps Pseudopolyps giant |
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