Ülseratif kolitte “Solucan polipler”

Ülseratif kolit olgularında kolonda infalamatuar poliplere sıklıkla rastlanmaktadır. Filiform, solucan şeklindeki polipler inflamatuar poliplerin nadir görülen bir şekli olup daha çok şiddetli ülseratif kolit olgularında izlenmektedirler. Burada 35 yaşında 5 yıllık ülseratif pankolit tanısı olan vakada inflamatuar filiform (solucan) poliplerin gelişimi sunulmuştur.‹nflamatuar barsak hastal›klar›n›n seyrinde çeflitli flekillerde ve formlarda poliplerin geliflebildi¤i bilinmektedir. Gerçek adenematoz polipler daha nadir izlenirken, inflamatuar psödopolipler özellikle fliddetli olgularda karfl›m›za ç›kmaktad›r. Psödopolipler görünüm olarak ço¤u zaman sapl› veya yas› flekilde olup büyük boyutlara ulaflabilmektedir. Daha nadiren atipik flekilli polipoid yap›lara rastlamak mümkündür.

Filiform polyposis of ulcerative colitis

Inflammatory polyposis is a frequent sequela of ulcerative colitis, but filiform polyposis is a rare form of inflammatory polyposis characterized by the presence of numerous, worm-like polyps in the colon. It is usually seen in case of severe ulcerative colitis. We report a 35-year-old male with a five-year history of ulcerative pancolitis and massive polyposis characterized by long, worm-like inflammatory polyps. Inflammatory polyposis is a frequent sequela of ulcerative colitis, but filiform polyposis is a rare form of inflammatory polyposis characterized by the presence of numerous, worm-like polyps in the colon. It is usually seen in case of severe ulcerative colitis. We report a 35-year-old male with a five-year history of ulcerative pancolitis and massive polyposis characterized by long, worm-like inflammatory polyps.

___

  • Appelman HD, Threatt BA, Ernst C, et al. Filiform polyposis of the co- lon: an unusual sequala of ulceratıve colitis.am J Clin Pathol 1974: 62: 145-6.
  • Zegel HG, Laufer I. Filiform polyposis. Radiology 1978; 127: 615-9.
  • Orlowska J, Jarosz D, Bielecki K, Wejman J. Diffuse filiform polyposis of the colon in Crohn's disease. Case report. APMIS 1996; 104: 94-8.
  • Macaigne G, Boivin JF, Cheaib S, et al. Single filiform polyp revealed by severe haemorrhage in a patient with normal colon. Report of a case and review of the literature]. Gastroenterol Clin Biol 2006; 30: 913-5.
  • Cockey BM, Jones B, Bayless TM, Shauer AB. Filiform polyps of the esophagus with inflammatory bowel disease. AJR Am J Roentgenol 1985; 144: 1207-8.
  • Rozenbajgier C, Ruck P, Jenss H, Kaiserling E. Filiform polyposis: a ca- se report describing clinical, morphological, and immunohistochemical findings. Clin Investig 1992; 70: 520-8.
  • Brozna JP, Fisher RL, Barwick KW. Filiform polyposis: an unusual complication of inflammatory bowel disease. J Clin Gastroenterol 1985; 7: 451-8.