Mass-Forming Ischemic Colitis: A Potential Mimicker of Malignancy

Ischemic colitis (IC) results from reduced colonic vascular perfusion, accounting for 50-60% of all gastrointestinal ischemic episodes. IC leads to mucosal damage with clinical symptom severity developing based on the duration and extent of colonic injury. In rare cases IC may form a mass-like lesio...

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Bibliographic Details
Published inCase reports in pathology Vol. 2019; no. 2019; pp. 1 - 3
Main Authors Danakas, Alexandra M., Huber, Aaron R., Fazili, Bushra G.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2019
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Cancer
Case Report
Colitis
Diarrhea
Dysplasia
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Summary:Ischemic colitis (IC) results from reduced colonic vascular perfusion, accounting for 50-60% of all gastrointestinal ischemic episodes. IC leads to mucosal damage with clinical symptom severity developing based on the duration and extent of colonic injury. In rare cases IC may form a mass-like lesion mimicking malignancy. Here we present the case of a 55-year-old female with hematochezia and diarrhea, who on workup was found to have a mass-like lesion at the ileocecal valve. Multiple biopsies demonstrated ischemic change and mucosal injury without evidence of dysplasia or carcinoma. Two months later on follow-up imaging, after supportive treatment the lesion was completely resolved. It is critical for gastroenterologists and pathologists to be aware of this variant of IC to avoid unnecessary surgical procedures and treatment of patients.
Bibliography:Academic Editor: Yoji Nagashima
ISSN:2090-6781
2090-679X
DOI:10.1155/2019/8927872