Ischemic colitis masquerading as colonic tumor: Case report with review of literature

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Abstract

Ischemic colitis can mimic a carcinoma on computed tomographic (CT) imaging or endoscopic examination. A coexisting colonic carcinoma or another potentially obstructing lesion has also been described in 20% of the cases of ischemic colitis. CT scan can differentiate it from colon cancer in 75% of cases. However, colonos-copy is the preferred method for diagnosing ischemic colitis as it allows for direct visualization with tissue sampling. Varied presentations of ischemic colitis have been described as an ulcerated or submucosal mass or as a narrowed segment of colon with ulcerated mu-cosa on colonoscopy. Awareness and early recognition of such varied presentations of a common condition is necessary to differentiate from a colonic carcinoma, and to avoid unnecessary surgery and related complications.

Original languageEnglish
Pages (from-to)5324-5326
Number of pages3
JournalWorld Journal of Gastroenterology
Volume17
Issue number48
DOIs
StatePublished - 2011

Keywords

  • Biopsy
  • Colitis
  • Colon pathology
  • Colonic neoplasms/diagnosis
  • Differential diagnosis
  • Ischemic pathology
  • X-ray computed tomography

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