Protein-losing pseudomembranous colitis with cap polyposis-like features
| Autor: | Silke Lassmann, Adhara Lazaro, Anna-Maria Globig, Richard Salm, Guenther Ruf, Wolfgang Kreisel, Annette Schmitt-Graeff, Bertram Bengsch, Paul Fisch |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Colon Biopsy Protein-Losing Enteropathies Peripheral edema Colonic Polyps Case Report Severity of Illness Index Cap polyposis Gastroenterology Protein-losing enteropathy 03 medical and health sciences Hypoproteinemia 0302 clinical medicine Internal medicine medicine Humans Enteropathy Pseudomembranes Colectomy Enterocolitis Pseudomembranous Goblet cells business.industry Protein losing enteropathy Sigmoid colon Colonoscopy General Medicine Pseudomembranous colitis Middle Aged medicine.disease Immunohistochemistry Magnetic Resonance Imaging Ulcerative colitis Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | World Journal of Gastroenterology |
| ISSN: | 1007-9327 |
| DOI: | 10.3748/wjg.v23.i16.3003 |
| Popis: | Protein-losing enteropathy (PLE) is characterized by loss of serum proteins into the gastrointestinal tract. It may lead to hypoproteinemia and clinically present as protein deficiency edema, ascites, pleural or pericardial effusion and/or malnutrition. In most cases the site of protein loss is the small intestine. Here we present an unusual case of severe PLE in a 55-year old female with a one-year history of recurrent diarrhea, crampy abdominal pain, and peripheral edema. Endoscopy and MRI showed a diffuse inflammatory thickening of the sigmoid colon and the rectum. Surgical resection of the involved colon was performed and the symptoms were significantly resolved. The final histologic evaluation confirmed a diagnosis of a pseudomembranous colitis with cap polyposis-like features. Such a cause of PLE has never been described before. |
| Databáze: | OpenAIRE |
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