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阻塞性巨炎性息肉:它与炎症性肠病的严重程度或病程有关吗?两例病例报告。

Obstructive Giant Inflammatory Polyposis: Is It Related to the Severity or the Duration of the Inflammatory Bowel Disease? Two Case Reports.

作者信息

Abou Rached Antoine, Saba Jowana, El Masri Leila, Nakhoul Mary, Razzouk Carla

机构信息

Lebanese University, School of Medicine, Lebanon.

Saint-Joseph University, School of Medicine, Lebanon.

出版信息

Case Rep Gastrointest Med. 2018 Jun 10;2018:3251549. doi: 10.1155/2018/3251549. eCollection 2018.

DOI:10.1155/2018/3251549
PMID:29984012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6015717/
Abstract

We report two cases of giant inflammatory polyposis (GIP) with totally different presentation and evolution. The first patient had two giant pseudopolyps after one year of the diagnosis of UC. The second patient had one obstructive giant pseudopolyp secondary to CD at the level of the transverse colon, being totally asymptomatic years before the presentation. GIP is a rare complication of inflammatory bowel disease (IBD). It consists of numerous filiform polyps that look like a "mass of worms" or a "fungating" mass. Surgical resection is inevitable when GIP presents with obstructive symptoms.

摘要

我们报告了两例表现和病程完全不同的巨大炎症性息肉病(GIP)。首例患者在溃疡性结肠炎(UC)诊断一年后出现两个巨大假息肉。第二例患者在横结肠水平有一个继发于克罗恩病(CD)的阻塞性巨大假息肉,在出现症状前数年完全无症状。GIP是炎症性肠病(IBD)的一种罕见并发症。它由许多丝状息肉组成,看起来像“一堆蠕虫”或“蕈状”肿物。当GIP出现阻塞性症状时,手术切除是不可避免的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/cffdaa4e5b32/CRIGM2018-3251549.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/40c4cb8cd5ee/CRIGM2018-3251549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/f1dbc95f5d91/CRIGM2018-3251549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/b34304359919/CRIGM2018-3251549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/f25bf505d0b2/CRIGM2018-3251549.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/9a53e032e447/CRIGM2018-3251549.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/9e25518b5aa3/CRIGM2018-3251549.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/cffdaa4e5b32/CRIGM2018-3251549.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/40c4cb8cd5ee/CRIGM2018-3251549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/f1dbc95f5d91/CRIGM2018-3251549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/b34304359919/CRIGM2018-3251549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/f25bf505d0b2/CRIGM2018-3251549.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/9a53e032e447/CRIGM2018-3251549.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/9e25518b5aa3/CRIGM2018-3251549.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2e/6015717/cffdaa4e5b32/CRIGM2018-3251549.007.jpg

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本文引用的文献

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Recurrent Obstructive Giant Inflammatory Polyposis of the Colon.复发性结肠阻塞性巨大炎性息肉病
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Tumor-like growth of giant inflammatory polyposis in a patient with ulcerative colitis.溃疡性结肠炎患者中巨大炎症性息肉的肿瘤样生长。
Case Rep Gastroenterol. 2013 Aug 24;7(2):352-7. doi: 10.1159/000354974. eCollection 2013.
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Regression of giant pseudopolyps in inflammatory bowel disease.炎症性肠病中巨大假性息肉的消退。
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Inflammatory polyps occur more frequently in inflammatory bowel disease than other colitis patients.炎性息肉在炎症性肠病患者中比其他结肠炎患者更常见。
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