Masood Laiba, Sayeed Sana, Asghar Maryam
Department of Radiology, Shifa International Hospital, Islamabad.
J Coll Physicians Surg Pak. 2018 Sep;28(9):S162-S163. doi: 10.29271/jcpsp.2018.09.S162.
Colitis cystica profunda (CCP) is a rare benign disease characterised by mucin-filled cysts beneath the muscularis mucosae, which commonly involves the rectum and sigmoid colon. The disease process involving rectum is termed as proctitis cystica profunda. Trans-rectal ultrasound (TRUS) and magnetic resonance imaging (MRI) are an aid to diagnosis. However, histological analysis of deep biopsy is diagnostic. We report a case of 21-year male who presented with bleeding per rectum and was diagnosed as solitary ulcer of the rectum (SRUS) on superficial biopsies on sigmoidoscopy. Surgical intervention coupled with MRI findings and histopathological analysis formulated diagnosis of CCP. To our knowledge, we are second to report this entity with its MRI features.
深部囊性结肠炎（CCP）是一种罕见的良性疾病，其特征是黏膜肌层下方有充满黏液的囊肿，该病通常累及直肠和乙状结肠。累及直肠的疾病过程称为深部直肠炎。经直肠超声（TRUS）和磁共振成像（MRI）有助于诊断。然而，深部活检的组织学分析具有诊断意义。我们报告一例21岁男性，因直肠出血就诊，乙状结肠镜检查时浅表活检诊断为直肠孤立性溃疡（SRUS）。手术干预结合MRI表现和组织病理学分析确诊为CCP。据我们所知，我们是第二例报告该疾病及其MRI特征的。
