Adelson J W, deChadarévian J P, Azouz E M, Guttman F M
Department of Gastroenterology, Montreal Children's Hospital, McGill University, Quebec, Canada.
J Pediatr Gastroenterol Nutr. 1988 Jan-Feb;7(1):135-40. doi: 10.1097/00005176-198801000-00025.
A 16-year-old boy with chronic ulcerative colitis developed unexplained increasingly intractable abdominal pain and rectal bleeding over several months during a period when acute colitic attacks were quiescent. No abdominal mass was palpable. The cause of symptoms was subtotal colonic obstruction due to the development of massive or giant inflammatory (pseudo) polyposis, which had caused nearly complete obliteration of the lumen of the transverse colon. The radiological and histopathological findings are presented; this case confirms the conclusion drawn in a recent retrospective surgical pathology report that giant inflammatory polyposis may produce distinct symptoms, especially pain, independent of the existence of relatively quiescent underlying inflammatory bowel disease. This unusual complication of inflammatory bowel disease deserves greater clinical awareness.
一名16岁慢性溃疡性结肠炎男孩，在急性结肠炎发作静止期的数月里，出现了原因不明且日益难以忍受的腹痛和直肠出血。未触及腹部肿块。症状的原因是大量或巨大炎性（假性）息肉形成导致结肠次全梗阻，这几乎使横结肠管腔完全闭塞。本文展示了放射学和组织病理学检查结果；该病例证实了近期一份回顾性手术病理报告得出的结论，即巨大炎性息肉可能产生独特症状，尤其是疼痛，而与相对静止的潜在炎性肠病的存在无关。炎性肠病的这种不寻常并发症值得临床给予更多关注。
