Takeshima Fuminao, Senoo Takemasa, Matsushima Kayoko, Akazawa Yuko, Yamaguchi Naoyuki, Shiozawa Ken, Ohnita Ken, Ichikawa Tatsuki, Isomoto Hajime, Nakao Kazuhiko
Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Intern Med. 2012;51(4):435-9. doi: 10.2169/internalmedicine.51.6376. Epub 2012 Feb 15.
A 37-year-old woman was evaluated at our hospital for a treatment-resistant proctosigmoiditis. Fifteen years previously, ulcerative colitis was suspected and she was cured by steroid therapy. Colonoscopy revealed multiple sessile polyps covered with white exudate from the rectum to the sigmoid colon. Histopathological examination revealed a mucosal surface cover of granulation tissue. Based on these findings, cap polyposis was diagnosed. She underwent Helicobacter pylori eradication therapy, and at 1 month after therapy, her symptoms had improved. We present a case of cap polyposis relapsing 15 years after remission with steroid therapy, and that was improved by H. pylori eradication therapy.
一名37岁女性因难治性直肠乙状结肠炎在我院接受评估。15年前，怀疑患有溃疡性结肠炎，她通过类固醇疗法治愈。结肠镜检查发现从直肠到乙状结肠有多个覆盖白色渗出物的无蒂息肉。组织病理学检查显示黏膜表面覆盖肉芽组织。基于这些发现，诊断为帽状息肉病。她接受了幽门螺杆菌根除治疗，治疗后1个月，症状有所改善。我们报告一例类固醇疗法缓解15年后复发的帽状息肉病病例，该病例通过幽门螺杆菌根除治疗得到改善。
