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Intestinal Research 2007;5(1):77-80.
Published online June 30, 2007.
A Case of Colonic Perforation following Colonoscopy in Collagenous Colitis
Youn Sun Park, Byung Ik Jang, Tae Nyeun Kim, Jong Ryul Eun, Jae Won Choi, Kyu Hyung Lee, Kyeong Ok Kim, Si Hyung Lee, Mi Jin Kim
Departments of Internal Medicine and Pathology Yeungnam University College of Medicine, Daegu, Korea,
교원성 대장염 환자에서 대장내시경 후 발생한 대장 천공 1예
박윤선, 장병익, 김태년, 은종렬, 최재원, 이규형, 김경옥, 이시형, 김미진
영남대학교 의과대학 내과학교실, 병리학교실
Abstract
Collagenous colitis is a clinicopathological syndrome characterized by: (1) chronic watery diarrhea and crampy abdominal pain and (2) thickened subepithelial collagen band and increased intraepithelial lymphocytes on histology. The mucosa generally appears endoscopically normal, although some nonspecific abnormalities such as patchy erythema, an abnormal vascular pattern or erythema may be found in upto one third of cases. Collagenous colitis is generally regarded as a benign disease and serious complication are uncommon. The frequency of colonic perforation in collagenous coliltis is unknown, but is probably very rare. Only 16 patients, excluding our cases, have so far been reported. We report a case of a 80-year-old woman with collagenous colitis who presented with colonic perforation two days after the colonoscopy. (Intest Res 2007;5:77-80)
Key Words: Colitis, Collagenous, Perforation, Colonoscopy
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