Melanosis coli

Yıl 2023, Cilt: 48 Sayı: 4, 1436 - 1438, 29.12.2023

İdris Kurt Ebru Erol Uzunoğlu

https://doi.org/10.17826/cumj.1335565

Öz

Melanosis Coli is a rare and unusual appearance of the colon with dark brown pigmentation in a snakeskin-like pattern. Owing to its rarity and different view, it cannot be distinguished from ischemic colitis, especially in acute settings. Unfortunately, some patients are diagnosed after colectomy. The malignant potential of the disease remains controversial. In this article, we discuss a patient who was found to have melanosis coli and then briefly examine the relevant medical literature.

Anahtar Kelimeler

antraquinone laxatives, colonoscopy, constipation, melanosis coli

Melanozis koli

Öz

Melanozis koli, yılan derisi benzeri bir paternde koyu kahverengi pigmentasyon içeren nadir ve alışılmadık bir kolon görünümüdür. Nadir görülmesi ve farklı görünümü nedeniyle, özellikle akut durumlarda iskemik kolitten ayırt edilemez. Ancak maalesef bazı hastalara kolektomi sonrası tanı konulmaktadır. Hastalığın malign potansiyeli tartışmalı olmaya devam etmektedir. Bu makalede, melanozis koli saptanan bir hasta tartışılmış ve sonrasında ilgili tıbbi literatür kısaca gözden geçirilmiştir.

Anahtar Kelimeler

kolonoskopi, melanozis koli, konstipasyon

Kaynakça

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• Liu ZH, Foo DCC, Law WL, Chan FSY, Fan JKM, Peng JS. Melanosis coli: Harmless pigmentation? A case-control retrospective study of 657 cases. PLoS One. 2017;12:e0186668.
• Moeller J, Solomon R, Kiffin C, Ditchek JJ, Davare DL. Melanosis coli: a case of mistaken identity-a case report. Perm J. 2019;23:18-063.
• Anoop KV. Melanosis coli: a case report. Egypt J Intern Med. 2021;33:23.
• Ricciuti B, Leone MC, Metro G. Melanosis coli or ischaemic colitis? That is the question. BMJ Case Rep. 2015;2015:bcr2015212404.
• Chaudhary BN, Sharma H, Nadeem M, Niayesh MH. Ischemic colitis or melanosis coli: a case report. World J Emerg Surg. 2007;2:25.
• Gökçe AH, Gökçe FS. Prognosis in patients with melanosis coli: a prospective study. Istanbul Medical Journal. 2019;20:198–201.
• Biernacka-Wawrzonek D, Stępka M, Tomaszewska A, Ehrmann-Jóśko A, Chojnowska N, Zemlak M et al. Melanosis coli in patients with colon cancer. Prz Gastroenterol. 2017;12:22-7.
• Lombardi N, Crescioli G, Maggini V, Bellezza R, Landi I, Bettiol A et al. Anthraquinone laxatives use and colorectal cancer: A systematic review and meta-analysis of observational studies. Phytother Res. 2022;36:1093-102.