GIANT PSEUDO-POLYPS IN CROHNS COLITIS - A NONOPERATIVE APPROACH

  • 1 January 1981
    • journal article
    • research article
    • Vol. 76  (3) , 267-271
Abstract
Six patients with Crohn''s disease had colonic intraluminal multilobulated masses detected on Ba enema. Four had Crohn''s colitis and 2 ileocolitis. The mean duration of disease was 4.8 yr. Three patients underwent surgery and 3 had colonoscopy with multiple biopsies and cytology. Pseudopolypoid inflammatory tissue was found in each case. One patient died after a prolonged postoperative course due to sepsis and abscess formation. No surgery was performed in 3 patients and follow-up colonoscopic examinations at 4.5 yr revealed no change in these findings. The presence of an intraluminal colonic mass in Crohn''s colitis may mimic a neoplasm. If surveillance with X-ray, endoscopic biopsies and cytology reveals pseudopolypoid inflammatory tissue then surgery is not mandatory. Pseudopolypoid inflammatory tissue has never been associated with carcinoma.