Saudi Journal of Gastroenterology
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Year : 2014  |  Volume : 20  |  Issue : 2  |  Page : 139-140
Multiple colonic submucosal tumors in a patient with chronic lung allograft dysfunction


Department of Gastroenterology, A. Murri Hospital, Polytechnic University of Marche, Fermo, Italy

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Date of Web Publication27-Mar-2014
 

How to cite this article:
Antonini F, Gismondi G, Marraccini B, Macarri G. Multiple colonic submucosal tumors in a patient with chronic lung allograft dysfunction. Saudi J Gastroenterol 2014;20:139-40

How to cite this URL:
Antonini F, Gismondi G, Marraccini B, Macarri G. Multiple colonic submucosal tumors in a patient with chronic lung allograft dysfunction. Saudi J Gastroenterol [serial online] 2014 [cited 2019 Jul 16];20:139-40. Available from: http://www.saudijgastro.com/text.asp?2014/20/2/139/129480


A 62-year-old man presented for a colonoscopy for positive fecal occult blood test. He had a past medical history of lung transplantation for idiopathic pulmonary fibrosis complicated by chronic lung allograft dysfunction in treatment with high dose of immunosuppressive drugs and steroids. The endoscopy revealed three polyps of the sigmoid colon (about 1 cm in size) and multiple submucosal lesions of varying sizes (1-3 cm) in the ascending and transverse colon, covered by normal mucosa [Figure 1]a and b. The polyps have been resected by snare-polypectomy, and histology showed a completely removed tubular adenoma with mild dysplasia. Biopsy specimens of submucosal tumors were inconclusive, revealing mild inflammation.
Figure 1: (a, b) Endoscopic view of multiple colonic submucosal tumors

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   Question Top


1. What is the diagnosis?



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   References Top

1.Arikanoglu Z, Aygen E, Camci C, Akbulut S, Basbug M, Dogru O, et al. Pneumatosis cystoides intestinalis: A single center experience. World J Gastroenterol 2012;18:453-7.  Back to cited text no. 1
    
2.Braumann C, Menenakos C, Jacobi CA. Pneumatosis intestinalis-a pitfall for surgeons? Scand J Surg 2005;94:47-50.  Back to cited text no. 2
    
3.Ho LM, Paulson EK, Thompson WM. Pneumatosis intestinalis in the adult: benign to life-threatening causes. AJR Am J Roentgenol 2007;188:1604-13.  Back to cited text no. 3
    

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Correspondence Address:
Filippo Antonini
Department of Gastroenterology, A. Murri Hospital, A. Murri Road, PO Box 63900 - Fermo
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.129480

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