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- Title
Giant Pseudopolyps in Crohn's Colitis.
- Authors
Katz, Seymour; Rosenberg, Richard F.; Katzka, Irwin
- Abstract
Six patients with Crohn's disease had colonic intraluminal multilobulated masses detected on barium enema. Four had Crohn's colitis and two ileocolitis. The meanduration of disease was four and eight tenths years. Three patients underwent surgery and three had colonoscopy with multiple biopsies and cytology. Pseudopolypoid inflammatory tissue was found in each ease. One patient died after a prolonged postoperative course due to sepsis and abscess formation. No surgery was performed in three patients and follow-up colonoscopic examinations at four and a half years revealed no change in these findings. The presence of an intraluminal colonic mass in Crohn's colitis may mimic a neoplasm. If surveillance with x-ray, endoscopic biopsies and cytology reveals pseudopolypoid inflammatory tissue then surgery is not mandatory. Pseudopolypoid inflammatory tissue has never been associated with carcinoma.
- Subjects
CROHN'S disease; COLITIS; BARIUM enema; COLONOSCOPY; DIAGNOSIS; IMITATIVE behavior; TUMORS
- Publication
American Journal of Gastroenterology (Springer Nature), 1981, Vol 76, Issue 3, p267
- ISSN
0002-9270
- Publication type
Article