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Colitis Cystica Profunda, Report of a Case T. Yoshida 1 , T. Takai 1 , Y. Takahashi 1 , T. Miyashita 2 , A. Ojima 2 1The 1st Department of Internal Medicine, Gifu University School of Medicine 2The 2nd Department of Pathology, Gifu University School of Medicine pp.311-316
Published Date 1980/3/25
DOI https://doi.org/10.11477/mf.1403106771
  • Abstract
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 Colitis cystica profunda is a rare disease, and only 12 cases have been reported up to the present in Japan.

 The patient, a 48 year-old male, had complained of occasional lower abdominal pain for the past three years. Physical examination and laboratory studies on admission revealed no abnormality. On barium enema, a IIa+IIc-like lesion of 3.00m in diameter was found in the sigmoid colon. Endoscopically a caterpillar-like shaped tumor with superficial ulceration was found and the covering mucosa was edematous and hemorrhagic. The biopsy specimen showed normal mucosa with unknown substance in the submucosa. The resected specimen revealed a nodular elevation of 3.0×1.0×0.5 cm with superficial ulceration. Microscopically, many cysts covered with columner epithelium without atypia were seen in the submucosa. Fibrous stroma with lymphocytic ration surrounded them.

 From these findings the case was diagnosed colitis cystica profunda.


Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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