Filiform polyposisを伴った潰瘍性大腸炎の2切除例
Filiform polyposisを伴った潰瘍性大腸の2切除例を経験したので，若干の文献的考察を加え報告する．症例1は25歳，男性．1年間の潰瘍性大腸炎の治療中に貧血，低栄養が遷延し，次第に体動時の息切れを認め，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸，およびS状結腸に広範なinflammatory polyposisを認めた．通過障害を伴い，内科治療で改善せず，大腸全摘術を施行した．症例2は54歳，女性．13年間の潰瘍性大腸炎の治療経過中に再燃と寛解を繰り返していた．腹痛，下痢，血便が増悪したため，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸にinflammatory po...
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| Published in | 日本大腸肛門病学会雑誌 Vol. 74; no. 8; pp. 482 - 490 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本大腸肛門病学会
2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.74.482 |
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| Abstract | Filiform polyposisを伴った潰瘍性大腸の2切除例を経験したので，若干の文献的考察を加え報告する．症例1は25歳，男性．1年間の潰瘍性大腸炎の治療中に貧血，低栄養が遷延し，次第に体動時の息切れを認め，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸，およびS状結腸に広範なinflammatory polyposisを認めた．通過障害を伴い，内科治療で改善せず，大腸全摘術を施行した．症例2は54歳，女性．13年間の潰瘍性大腸炎の治療経過中に再燃と寛解を繰り返していた．腹痛，下痢，血便が増悪したため，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸にinflammatory polyposisによる腸管狭窄を認めた．内科治療で改善せず，結腸亜全摘術を施行した．病理では，いずれも血管拡張と粘膜下層の線維筋増生を認め，filiform polyposisと診断した． |
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| AbstractList | Filiform polyposisを伴った潰瘍性大腸の2切除例を経験したので，若干の文献的考察を加え報告する．症例1は25歳，男性．1年間の潰瘍性大腸炎の治療中に貧血，低栄養が遷延し，次第に体動時の息切れを認め，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸，およびS状結腸に広範なinflammatory polyposisを認めた．通過障害を伴い，内科治療で改善せず，大腸全摘術を施行した．症例2は54歳，女性．13年間の潰瘍性大腸炎の治療経過中に再燃と寛解を繰り返していた．腹痛，下痢，血便が増悪したため，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸にinflammatory polyposisによる腸管狭窄を認めた．内科治療で改善せず，結腸亜全摘術を施行した．病理では，いずれも血管拡張と粘膜下層の線維筋増生を認め，filiform polyposisと診断した． |
| Author | 木村, 英明 遠藤, 格 大谷, 方子 豊田, 純哉 |
| Author_xml | – sequence: 1 fullname: 大谷, 方子 organization: 横浜市立大学附属市民総合医療センター病理診断科 – sequence: 1 fullname: 豊田, 純哉 organization: 横浜市立大学附属市民総合医療センター炎症性腸疾患センター – sequence: 1 fullname: 遠藤, 格 organization: 横浜市立大学医学部消化器・腫瘍外科学 – sequence: 1 fullname: 木村, 英明 organization: 横浜市立大学附属市民総合医療センター炎症性腸疾患センター |
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| Copyright | 2021 日本大腸肛門病学会 |
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| DOI | 10.3862/jcoloproctology.74.482 |
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| References | 6) Freeman AH, Berridge FR, Dick AD, et al: Pseudopolyposis in Crohn's disease. Br J Radiol 51:782-787, 1978 24) 竹谷園生, 今井伸一, 白岩祥子ほか:結腸憩室炎合併filiform polyposisの1例. 手術 67:1677-1679, 2013 16) Cheng EH, Brugge WR: Filiform Polyposis in a Patient without History of Inflammatory Bowel Disease. J Clin Gastroenterol 11:479-481, 1989 12) Ponte R, Mastracci L, Domernico SD, et al: Giant Filiform Polyposis not Associated with Inflammatory Bowel Disease: A Case Report. Viszeralmedizin 31:58-60, 2015 26) Tsung SH: Filiform polyposis in a patient without inflammatory bowel disease. Ann Clin Lab Sci 43:98-100, 2013 37) 中谷尚登, 成木行彦, 瓜田純久ほか:胃癌に伴う消化管への蛋白漏出に関する臨床的検討. 消化と吸収 14:88-91, 1992 34) Ali Z, Iltaf S: Giant Filiform Polyposis, A Rare Entity in a Patient of Ulcerative Colitis: A Case Report. Cureus 11, 2019: e6125. Doi: 10. 7759/cureus. 6125. [Epub ahead of print] 4) 酒井靖夫, 田村博史, 桑原明史ほか:炎症性ポリポーシスにより回盲部に閉塞を生じたCrohn病の1例. 日臨外会誌 76:2207-2213, 2015 22) Vainer B, Jess T, Andersen PS: Rapidtumor like growth of giant filiform polyposis in a patient without a history of chronic bowel inflammation. APMIS 115:1306-1310, 2007 2) Jass JR: Colorectal polyposis: from phenotype to diagnosis. Pathol Res Pract 204:431-447, 2008 28) Boulagnon C, Jazeron JF, Diaz-Cives A, et al: Filiform polyposis: a benign entity? Case report and literature review. Pathol Res Pract 210:189-193, 2014 8) Oakley G, Schraut WH, Peel R, et al: Diffuse filiform polyposis with unique histology mimicking familial adenomatous polyposis in a patient without inflammatory bowel disease. Arch Pathol Lab Med 131:1821-1824, 2007 10) Lee CG, Lim YJ, Choi JS, et al: Filiform polyposis in the sigmoid colon : a case series. World J Gastroenterol 16:2443-2447, 2010 36) Kawaguchi Y, Mine T, Kawana I, et al: Protein-losing enteropathy, deep venous thrombosis and pulmonary embolism in a patient with generalized inflammatory polyposis in remission stage of ulcerative colitis. Clin J Gastroenterol 2:156-160, 2009 21) 福本和彦, 奥田康一, 大住幸司ほか:結腸filiform polyposisをともなったCrohn病の1例. 日本大腸肛門病会誌 57:402-406, 2004 31) Chen Y, Ritter D, Hou P, et al: Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease. Journal of Medical & Surgical Pathology 1:1, 2015 38) Wyse J, Lamoureux E, Gordon PH, et al: Occult dysplasia in a localized giant pseudopolyp in Crohn's colitis: a case report. Can J Gastroenterol 23:477-478, 2009 19) Bauknecht KJ, Grosse G, Kleinert J, et al: Fili- form of the colon in chronic inflammatory bowel disease (so-called giant inflammatory polyps). Z Gastroenterol 38:845-846, 848-854, 2000 14) Zegel HG, Laufer I: Filiform polyposis. Radiology 127:615-619, 1978 20) Tajiri T, Tate G, Mitsuya T, et al: Localized giant inflammatory polyposis (filiform polyposis) with diverticula in ulcerative colitis. J Gastroenterol 38:912-914, 2003 32) Okuno T, Kanazawa T, Kishi H, et al: Filiform polyposis with sigmoid colon adenocarcinoma: a case report. Surgical Case Reports 5:184, 2019 29) Hokama A, Nagahama M, Kishimoto K, et al: Colonic stricture with filiform polyposis in Crohn's disease. BMJ Case Rep 2014; doi: 10. 1136/bcr-2014- 204710 [Epub ahead of print] 9) Kim HS, Lee KY, Kim YW: Filiform polyposis associated with sigmoid diverticulitis in a patient without inflammatory bowel disease. J Crohns Colitis 4:671-673, 2010 5) Appelman HD, Thratt BA, Ernest C, et al: Filiform polyposis of the colon: an unusual sequel of ulcerative colitis. Am J Clin Pathol 21:145-146, 1974 33) Yamada K, Samura H, Kinjo T, et al: Filiform polyposis in ulcerative colitis. Polish Archives of Internal Medicine 129:199-200, 2019 11) 安里昌哉, 照屋 剛, 仲地 厚ほか:上行結腸狭窄をきたし切除したfiliform polyposisの1例. 日臨外会誌 78:334-339, 2017 30) Heng JS, Baird A, Novelli MR, et al: Filiform polyposis secondary to colonic tuberculosis presenting as Acute colo-colonic intussusception. Case Rep Surg 2015; doi: 10. 1155/2015/578263 [Epub ahead of print] 13) Spark R: Filiform polyposis of the colon. First report in a case of transmural colitis (Crohn's disease). Dig Dis 21:809-814, 1976 1) Kelly JK, Langevin JM, Price LM, et al: Giant and symptomatic inflammatory polyps of the colon in idiopathic inflammatory bowel disease. Am J Surg Pathol 10:420-428, 1986 18) Orlowska J, Jarosz D, Bielecki K, et al: Diffuse filiform polyposis of the colon in Crohn's disease. Case report. APMIS 104:94-98, 1996 23) 麦谷達郎, 清水誠治, 江頭由太郎ほか:大腸憩室を背景に発生したと考えられるfiliform polyposisの1例. 胃と腸 47:1127-1134, 2012 15) Antonow D, Gebhard R, Dykoski R, et al: Filiform polyposis in Crohn's colitis mimicking toxic megacolon. Digestive Diseases and Science 26:1051-1055, 1981 27) Mavrogenis G, Ngendahayo P, Kisoka P, et al: Intestinal obstruction caused by giant filiform polyposis in a patient with normal colon. Endoscopy 45:80-81, 2013 7) Bronza JP, Fisher RL, Barwick KW: Filiform polyposis: an unusual complication of inflammatory bowel disease. J Clin Gastroenterol 7:451-458, 1985 17) Rozenbajgier C, Ruck P, Jenss H, et al: Filiform polyposis: a case report describing clinical, morphological, and immunohistochemical findings. Clin Investig 70:520-528, 1992 25) Nagashima M, Sugishita Y, Moriyama A, et al: Tumorlike growth of giant inflammatory polyposis in a patient with ulcerative colitis. Case Rep Gastroenterol 7 :352-357, 2013 3) 鈴木康夫, 中尾圭太郎, 菱川悦夫ほか:filiform polyposisを合併し高度な狭窄症状を呈した潰瘍性大腸炎の1例. 胃と腸 36:585-589, 2001 35) 櫻庭一馬, 根本 洋, 齋藤充生ほか:蛋白漏出性胃腸症を合併したI型進行胃癌の2例. 日臨外会誌 72:670-674, 2011 |
| References_xml | – reference: 37) 中谷尚登, 成木行彦, 瓜田純久ほか:胃癌に伴う消化管への蛋白漏出に関する臨床的検討. 消化と吸収 14:88-91, 1992 – reference: 18) Orlowska J, Jarosz D, Bielecki K, et al: Diffuse filiform polyposis of the colon in Crohn's disease. Case report. APMIS 104:94-98, 1996 – reference: 20) Tajiri T, Tate G, Mitsuya T, et al: Localized giant inflammatory polyposis (filiform polyposis) with diverticula in ulcerative colitis. J Gastroenterol 38:912-914, 2003 – reference: 13) Spark R: Filiform polyposis of the colon. First report in a case of transmural colitis (Crohn's disease). Dig Dis 21:809-814, 1976 – reference: 3) 鈴木康夫, 中尾圭太郎, 菱川悦夫ほか:filiform polyposisを合併し高度な狭窄症状を呈した潰瘍性大腸炎の1例. 胃と腸 36:585-589, 2001 – reference: 5) Appelman HD, Thratt BA, Ernest C, et al: Filiform polyposis of the colon: an unusual sequel of ulcerative colitis. Am J Clin Pathol 21:145-146, 1974 – reference: 27) Mavrogenis G, Ngendahayo P, Kisoka P, et al: Intestinal obstruction caused by giant filiform polyposis in a patient with normal colon. Endoscopy 45:80-81, 2013 – reference: 25) Nagashima M, Sugishita Y, Moriyama A, et al: Tumorlike growth of giant inflammatory polyposis in a patient with ulcerative colitis. Case Rep Gastroenterol 7 :352-357, 2013 – reference: 15) Antonow D, Gebhard R, Dykoski R, et al: Filiform polyposis in Crohn's colitis mimicking toxic megacolon. Digestive Diseases and Science 26:1051-1055, 1981 – reference: 2) Jass JR: Colorectal polyposis: from phenotype to diagnosis. Pathol Res Pract 204:431-447, 2008 – reference: 12) Ponte R, Mastracci L, Domernico SD, et al: Giant Filiform Polyposis not Associated with Inflammatory Bowel Disease: A Case Report. Viszeralmedizin 31:58-60, 2015 – reference: 7) Bronza JP, Fisher RL, Barwick KW: Filiform polyposis: an unusual complication of inflammatory bowel disease. J Clin Gastroenterol 7:451-458, 1985 – reference: 34) Ali Z, Iltaf S: Giant Filiform Polyposis, A Rare Entity in a Patient of Ulcerative Colitis: A Case Report. Cureus 11, 2019: e6125. Doi: 10. 7759/cureus. 6125. [Epub ahead of print] – reference: 24) 竹谷園生, 今井伸一, 白岩祥子ほか:結腸憩室炎合併filiform polyposisの1例. 手術 67:1677-1679, 2013 – reference: 26) Tsung SH: Filiform polyposis in a patient without inflammatory bowel disease. Ann Clin Lab Sci 43:98-100, 2013 – reference: 32) Okuno T, Kanazawa T, Kishi H, et al: Filiform polyposis with sigmoid colon adenocarcinoma: a case report. Surgical Case Reports 5:184, 2019 – reference: 30) Heng JS, Baird A, Novelli MR, et al: Filiform polyposis secondary to colonic tuberculosis presenting as Acute colo-colonic intussusception. Case Rep Surg 2015; doi: 10. 1155/2015/578263 [Epub ahead of print] – reference: 6) Freeman AH, Berridge FR, Dick AD, et al: Pseudopolyposis in Crohn's disease. Br J Radiol 51:782-787, 1978 – reference: 31) Chen Y, Ritter D, Hou P, et al: Colonic Filiform Polyposis in a Patient without Inflammatory Bowel Disease. Journal of Medical & Surgical Pathology 1:1, 2015 – reference: 8) Oakley G, Schraut WH, Peel R, et al: Diffuse filiform polyposis with unique histology mimicking familial adenomatous polyposis in a patient without inflammatory bowel disease. Arch Pathol Lab Med 131:1821-1824, 2007 – reference: 9) Kim HS, Lee KY, Kim YW: Filiform polyposis associated with sigmoid diverticulitis in a patient without inflammatory bowel disease. J Crohns Colitis 4:671-673, 2010 – reference: 4) 酒井靖夫, 田村博史, 桑原明史ほか:炎症性ポリポーシスにより回盲部に閉塞を生じたCrohn病の1例. 日臨外会誌 76:2207-2213, 2015 – reference: 28) Boulagnon C, Jazeron JF, Diaz-Cives A, et al: Filiform polyposis: a benign entity? Case report and literature review. Pathol Res Pract 210:189-193, 2014 – reference: 29) Hokama A, Nagahama M, Kishimoto K, et al: Colonic stricture with filiform polyposis in Crohn's disease. BMJ Case Rep 2014; doi: 10. 1136/bcr-2014- 204710 [Epub ahead of print] – reference: 38) Wyse J, Lamoureux E, Gordon PH, et al: Occult dysplasia in a localized giant pseudopolyp in Crohn's colitis: a case report. Can J Gastroenterol 23:477-478, 2009 – reference: 35) 櫻庭一馬, 根本 洋, 齋藤充生ほか:蛋白漏出性胃腸症を合併したI型進行胃癌の2例. 日臨外会誌 72:670-674, 2011 – reference: 16) Cheng EH, Brugge WR: Filiform Polyposis in a Patient without History of Inflammatory Bowel Disease. J Clin Gastroenterol 11:479-481, 1989 – reference: 11) 安里昌哉, 照屋 剛, 仲地 厚ほか:上行結腸狭窄をきたし切除したfiliform polyposisの1例. 日臨外会誌 78:334-339, 2017 – reference: 23) 麦谷達郎, 清水誠治, 江頭由太郎ほか:大腸憩室を背景に発生したと考えられるfiliform polyposisの1例. 胃と腸 47:1127-1134, 2012 – reference: 33) Yamada K, Samura H, Kinjo T, et al: Filiform polyposis in ulcerative colitis. Polish Archives of Internal Medicine 129:199-200, 2019 – reference: 1) Kelly JK, Langevin JM, Price LM, et al: Giant and symptomatic inflammatory polyps of the colon in idiopathic inflammatory bowel disease. Am J Surg Pathol 10:420-428, 1986 – reference: 19) Bauknecht KJ, Grosse G, Kleinert J, et al: Fili- form of the colon in chronic inflammatory bowel disease (so-called giant inflammatory polyps). Z Gastroenterol 38:845-846, 848-854, 2000 – reference: 14) Zegel HG, Laufer I: Filiform polyposis. Radiology 127:615-619, 1978 – reference: 10) Lee CG, Lim YJ, Choi JS, et al: Filiform polyposis in the sigmoid colon : a case series. World J Gastroenterol 16:2443-2447, 2010 – reference: 21) 福本和彦, 奥田康一, 大住幸司ほか:結腸filiform polyposisをともなったCrohn病の1例. 日本大腸肛門病会誌 57:402-406, 2004 – reference: 36) Kawaguchi Y, Mine T, Kawana I, et al: Protein-losing enteropathy, deep venous thrombosis and pulmonary embolism in a patient with generalized inflammatory polyposis in remission stage of ulcerative colitis. Clin J Gastroenterol 2:156-160, 2009 – reference: 17) Rozenbajgier C, Ruck P, Jenss H, et al: Filiform polyposis: a case report describing clinical, morphological, and immunohistochemical findings. Clin Investig 70:520-528, 1992 – reference: 22) Vainer B, Jess T, Andersen PS: Rapidtumor like growth of giant filiform polyposis in a patient without a history of chronic bowel inflammation. APMIS 115:1306-1310, 2007 |
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| Snippet | Filiform polyposisを伴った潰瘍性大腸の2切除例を経験したので，若干の文献的考察を加え報告する．症例1は25歳，男性．1年間の潰瘍性大腸炎の治療中に貧血，低栄養が遷延し，次第に体動時の息切れを認め，緊急入院となった．大腸内視鏡検査で盲腸から横行結腸，およびS状結腸に広範なinflammatory... |
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| Title | Filiform polyposisを伴った潰瘍性大腸炎の2切除例 |
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| ispartofPNX | 日本大腸肛門病学会雑誌, 2021, Vol.74(8), pp.482-490 |
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