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Canadian Journal of Gastroenterology
Volume 8 (1994), Issue 5, Pages 326-330
http://dx.doi.org/10.1155/1994/627620
Brief Communication

Colitis Cystica Profunda Complicated by Complete Colorectal Obstruction

Hugh James Freeman

Department of Medicine (Gastroenterology), , University Hospital and University of British Columbia, Vancouver, British Columbia, Canada

Received 25 November 1992; Accepted 3 March 1993

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An unusual presentation of colitis cystica profunda was seen in a 39-year-old male with a complete colonic obstruction due to an intussception with a rectosigmoid inflammatory mass. The patient had apparent antecedent distal ulcerative colitis and management included subtotal colectomy. Removal of the rectosigmoid mass produced a satisfactory clinical result with no colonoscopic or histological evidence of recurrent disease in the subsequent decade. Although rare, this entity should be considered during the evaluation of any inflammatory process involving the distal colon, especially if an inflammatory polypoid colonic mass is present or a mucinous adenocarcinoma is suspected.