Collagenous colitis with mucosal tears on endoscopic insufflation: a unique presentation

• Published in: Gut Vol. 51; no. 4; p. 600
• Main Authors: Cruz-Correa, M, Milligan, F, Giardiello, F M, Bayless, T M, Torbenson, M, Yardley, J H, Jackson, Frank W, Wilson Jackson, F
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Society of Gastroenterology 01.10.2002; BMJ; BMJ Publishing Group Ltd; BMJ Publishing Group LTD; Copyright 2002 by Gut
• Subjects: Aged; Analysis; Biological and medical sciences; Case studies; Colitis; Colitis - drug therapy; Colitis - pathology; Collagen; Collagen diseases; Colonoscopy; Diagnosis; Diarrhea; Digestive system. Abdomen; Drug therapy; Endoscopy; Female; Gut File; Health aspects; Humans; Inflammatory bowel disease; Intestinal Mucosa - pathology; Investigative techniques, diagnostic techniques (general aspects); Male; Medical examination; Medical sciences; Methods; Middle Aged; Patients; Periodic health examinations; Physical diagnosis; Human; Case study; Collagenous colitis; Pathophysiology; Colonoscopy; Digestive diseases; Intestinal disease; Endoscopy; Diagnosis; Elderly
• ISSN: 0017-5749; 1468-3288; 1458-3288
• DOI: 10.1136/gut.51.4.600

Collagenous colitis (CC) is a clinicopathological syndrome of indeterminate aetiology, characterised by: (1) chronic watery diarrhoea and crampy abdominal pain and (2) thickened subepithelial collagen table and increased intraepithelial lymphocytes on histology. 1, 2 Gastrointestinal, radiographic, and endoscopic examinations are not diagnostic of CC. Gastrointestinal lacerations have been seen in the oesophageal and gastric mucosa only after cardiopulmonary resuscitation. 4 From 1996 to 2000, approximately 100 patients with CC were seen at our institution, and only three cases presented these findings.