Obstructive Colitis Proximal to Obstructive Lesion of the Colon Cancer.
- Author:
You Kyoung OH
1
;
Jin Il KIM
;
Dae Young CHEUNG
;
Soo Heon PARK
;
Jae Kwang KIM
;
In Kyu LEE
;
Seung Eun JUNG
;
Kyung Shin PARK
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. jikim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Obstructive colitis;
Colon obstruction;
Colon cancer
- MeSH:
Abdominal Pain;
Aged;
Colitis;
Colon;
Colonic Neoplasms;
Colonoscopy;
Humans;
Mucous Membrane;
Sigmoid Neoplasms;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2008;36(3):177-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive colitis is a rare inflammatory condition that occurs in a dilated segment of the colon proximal to an obstructing lesion. A 69-year-old patient presented with abdominal pain and distension. The colonoscopy findings revealed a near total obstruction from sigmoid colon cancer. The mucosa of the obstructive lesion was erythematous and hemorrhagic but normal mucosa was found immediately above the 3 cm long obstructive lesion. The proximal bowel of the normal mucosa showed colitis with hemorrhagic mucosal changes and yellowish exudative plaques. Surgery was performed as a segmental resection after placing a metallic stent to decompress the proximal colonic loop. In conclusion, obstructive colitis should be considered if an ulcero-inflammatory lesion with a colonic obstruction and a skip lesion in the proximal colon are detected.
