1/18. Rare complication of intestinal Crohn's disease: giant fibroid polyp.A 25-year-old male patient who had a brother with Crohn's disease was referred to our clinic with bloody diarrhea and crampy abdominal pain. After a plain erect abdominal X-ray, enteroclysis was performed, followed by abdominopelvic CT. Besides the radiological features of CD, both enteroclysis and CT revealed a big polypoid filling defect in the small intestine. The patient was surgically treated and the histopathology of the specimen revealed a giant fibroid polyp superimposed on CD, an extremely rare complication heretofore unmentioned in the radiology literature. In this report we discuss the role of enteroclysis in the diagnosis of complicated cases of long-standing CD. In addition, we also shed light on the importance of both enteroclysis and CT, with their complementary findings, in the radiological diagnosis of rare complicated cases of CD.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/18. Topical budesonide for treating giant rectal pseudopolyposis.Pseudopolyps are a frequent finding in the course of inflammatory bowel disease. They are non-neoplastic lesions resulting from a regenerative and healing process that leaves inflamed colonic mucosa in polypoid configuration. Data about their management is lacking. "Giant" pseudopolyps can be mistaken for adenocarcinomas and, as they rarely regress with medical management alone, a surgical resection is often required. A case ofgiantpseudopolyposis treated non-surgically, in a patient with concomitant ulcerative colitis and chronic hepatitis b, is reported, representing a co-morbidity complicating an eventual conservative treatment. The clinical implementation of topical budesonide was originally tested, resulting in clinical, endoscopic and histological remission. budesonide seems a promising therapy for IBD, particularly when a comorbidity with viral hepatitis exist.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/18. Localized giant pseudopolyposis in ulcerative colitis.A case of localized giant pseudopolyposis in ulcertative colitis is discussed in which a mass effect mimicked tumor. The fulminant collection of pseudopolyps was palable in the epigastrium on physical exam and caused a partial obstruction to the retrograde flow of barium. carcinoma is a worrisome possibility in ulcerative colitis, but localized giant pseudopolyposis may also present as a mass.- - - - - - - - - - ranking = 1.2keywords = giant (Clic here for more details about this article) |
4/18. Localized giant pseudopolyposis of the colon in granulomatous colitis: a case report and review of the literature.A case of localized giant pseudopolyposis of the colon is presented. The case was proven histologically to be granulomatous colitis. This unusual manifestation of granulomatous colitis may mimic a large bowel carcinoma or less frequently villous adenoma. This is the first proven reported case of granulomatous colitis presenting in this manner.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/18. Endoscopic removal of a giant duodenal polyp.A 50-year-old female with a giant duodenal polyp is described. An uneventful endoscopic removal of the polyp was performed. An aggressive endoscopic approach to such tumors seems to be justified regardless of their size.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/18. Giant pseudopolypoidal retrograde obstruction in ulcerative colitis.A partially obstructing giant pseudopolyp of the left colon precluded examination of the proximal colon by sigmoidoscope and by retrograde barium enema. Four ounces of oral Gastrografin was used to opacify the colon at 24 h. It is suggested that the use of water soluble contrast media has a role to play in colon investigation in special situations.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
7/18. Localized giant pseudopolyposis of the colon.Localized giant pseudopolyposis is a rare complication in patients with inflammatory diseases of the colon which produces a huge intraluminal polypoid mass. Examples are described in a child with chronic ulcerative colitis in whom the lesion filled the rectum and in an adult with recurrent granulomatous ileocolitis in whom the mass was present in the transverse colon adjacent to a stenotic anastomosis. The clinical presentation, radiologic features and pathologic findings of this unusual sequela to inflammation are reviewed.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
8/18. Pseudopolyposis in Crohn's disease.Eight cases of pseudopolyposis occurring in Crohn's colitis are described. Emphasis is placed on the variability of the lesions. Four of the cases demonstrate localized giant pseudopolyposis which has until recently been regarded mainly as a complication of ulcerative colitis.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
9/18. Giant pseudopolyposis in colitis with colonic intussusception.When an area of giant pseudopolyp formation resulted in intussusception in a patient with known ulcerative colitis, operative intervention was required. The double contrast barium enema and fiberoptic colonoscopy were valuable complimentary diagnostic techniques in the evaluation of such a patient.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
10/18. Localized giant pseudo-polyposis in ulcerative colitis.Localized giant pseudo-polyposis is a rare complication of ulcerative or granulomatous colitis. A case illustrating the typical radiological findings is described. Recognition of this condition is important since it may simulate malignancy.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
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