Year: 2024
Type: article
Study design: Case Report
Abstract: Colitis Cystica Profunda-A Rare Cause of Rectal BleedingWe performed a colonoscopy on an 82-year-old female patient presenting with a history of rectal bleeding while receiving oral anticoagulation with rivaroxaban.At a height of about 40 to 50 cm from the anal verge, multiple cystic polypoid lesions with superficial erosive-erythematous changes were detected (Figure 1).On decapping by means of loop excision, these discharged liquid mucous material.The histological picture was one of mainly luminal edema with mild inflammation and mucinous cysts with no evidence of dysplasia (Figure 2).Based on the endoscopic and histological findings, the patient was diagnosed with colitis cystica profunda (CCP).CCP is a very rare benign condition of the colon characterized by the presence of intramural mucus-containing cysts.The etiology of the disease is not yet fully understood; established risk factors include chronic inflammatory and infectious bowel diseases.A typical clinical feature is the discharge of blood and mucous through the anus.In case of inconclusive findings, the diagnosis can be further supported by endosonography.Treatment with glucocorticoids can be initiated on a trial basis; however, in case of more severe signs and symptoms, segmental resection is required
Authors: Jonas Früh, Loraine Früh, Torsten Daubitz
Language: German
Topic: Inflammatory Bowel Disease
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4401980604