Koinuma Koji, Togashi Kazutomo, Konishi Fumio, Kirii Yasushi, Horie Hisanaga, Okada Masaki, Nagai Hideo
Department of Surgery, Jichi Medical School, 3311-1 Yakushiji, Minamikawachi, Tochigi 329-0498, Japan.
J Gastroenterol. 2003;38(9):880-3. doi: 10.1007/s00535-002-1164-6.
This case report describes a 68-year-old man who presented with bronchiolitis obliterans organizing pneumonia (BOOP) and gastric carcinoma. During evaluation, including a colonoscopy, he was found to have distal colitis and a giant polypoid lesion in the cecum that was diagnosed as localized giant inflammatory polyposis (LGIP) by magnifying colonoscopy. The patient was treated over a period of 3 years without surgery, and the LGIP was reduced in size during the follow-up period. Magnifying observation was useful to distinguish LGIP from a neoplastic lesion.
