Nakano H, Miyachi I, Kitagawa Y, Saito H, Yamauchi M, Horiguchi Y, Nakajima S, Itoh M, Miyagawa S, Iwase K
Department of Internal Medicine, Health University School of Medicine, Aichi, Japan.
Endoscopy. 1987 Nov;19(6):246-8. doi: 10.1055/s-2007-1018294.
We found shallow serpiginous, longitudinal ulcerations in the descending colon at the first examination of a 17-year-old female patient with Crohn's disease. Four months later at the second examination, we observed that a polypoid lesion had formed longitudinally in the region of the healed ulcers. The third examination, one year later, showed the presence of pedunculated and semi-pedunculated giant polyps in the descending colon. The lesion of the descending colon was removed surgically to cure the crampy abdominal pain caused by colonic obstruction. The segmental colectomy specimen showed longitudinally aligned pedunculated polyps of various sizes. The pathological diagnosis was inflammatory polyposis. To the best of our knowledge, there have been very few reports on the appearance of a number of pedunculated polyps such as in this case. This reports shows, through endoscopic pictures, the evolution of the polyp and discusses its formation.
在对一名17岁克罗恩病女性患者的首次检查中，我们在降结肠发现了浅的匐行性纵向溃疡。四个月后的第二次检查时，我们观察到在愈合溃疡区域纵向形成了一个息肉样病变。一年后的第三次检查显示降结肠存在有蒂和半有蒂的巨大息肉。为治愈由结肠梗阻引起的痉挛性腹痛，对降结肠病变进行了手术切除。节段性结肠切除术标本显示有纵向排列的大小各异的有蒂息肉。病理诊断为炎性息肉病。据我们所知，像本例这样出现多个有蒂息肉的报道非常少。本报告通过内镜图片展示了息肉的演变过程并讨论了其形成原因。
