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Histomorphological diagnostic diffuculties in colon perforation

Year 2018, Volume: 1 Issue: 1, 13 - 18, 05.04.2018
https://doi.org/10.32322/jhsm.397678

Abstract

In this review, histomorphologic
diagnostic difficulties were evaluated in cases that colon perforation was
detected and partial/total colectomy was performed. Although it is not difficult
to report histomorphologic findings of colon perforation within the clinical
knowledge in the practice of pathology, the absence of characteristic findings
in some cases may cause difficulties in diagnosis. Although clinical
information is often sufficient for histological diagnosis, differential
diagnosis difficulties are experienced in pathology practice, such as Crohn's,
amebic colitis, and intestinal Behçet's diseases.

References

  • 1- Gourgiotis S, Liakos N, Gemenetzis G, Seretis C, Aloizos S, Vougas V, et al. Less commen nontraumatic bowel perforations: diagnosis and management through a retrospective study. Am Surg 2013;79(4):381-72- Cohen MH, Reines JM. Spontaneous perforation of the ascending colon: Report of case and rewiew of the literature. Journal AOA 1976;75:596-6013- Ng DC, Kwok SY, Cheng Y et al. Colonic amoebic abscess mimicking carcinoma of colon. Hong Kong Med J 2006;12:71-34- Diagnostic Pathology of Parasitic Infections with Clinical Correlations, Second Ed., Yezid Gutierrez, Oxford Unıversity Press, 2000, p150-152.5- Weinrach DM, Wang KL. Amebic colitis in an asymptomatic patient. Arch Pathol Lab Med 2003;127:7626- Suarez AG, Olano AMC, Vaskuez M, Sousa Vaquero JM, Socas Macías M, Mendoza García E. Acut fulminant colitis caused by intestinal amebiasis. Rev. Asp. Enferm Dig. 2006;98:559-607- Haque R, Huston CD, Hughes M et al. Amebiasis. N Engl J Med 2003;348:1565-738- Singla K, Mahajan G, Agarwal S, Sharma S. Role of histopathological examination in nontraumatic perforation of colon. Trop Gastroenterol. 2012;33(4):265-99- Jones OP, Murphy JA, et al. Colocutaneous fistula secondary of amoebiasis. Int J Surg Case Rep 2011;2(3):40-4310- Athie-Gutierrez C, Rodea-Rosas H, Guizar-Bermudez C, et al. Evolution of surgical treatment of amebiasis-associated colon perforation. J Gastrointest Surg 2010;14(1):82-8711- Systemic vasculitis involving the gastrointestinal tract. John Hart, M.D. Professor, Sections of sugical Pathology & Gastroenterology University of Chicago Medical Center. (test.pathologyportal.org/site~/101st/pdf/companion16h04.pdf)12- Karakaya K, Cömert M, Numanoğlu G. Multiple perforation along the transverse colon as a rare presentation of intestinal Behçet’s disease: A case report. Clinics 2009;64(12):1231-313- Juan Rosai, Surgıcal Pathology, Tenth edition, MOSBY Elsevier, 2011, Vol.1 pp741,742,746, 14- Peng QH, Wang YF, He MQ, Zhang C, Tang Q. Clinical literature review of 1858 Crohn's disease cases requiring surgery in China. World J Gastroenterol 2015; 21(15): 4735-474315- Doklestić SK, Bajec DD, Djukić RV, Bumbaširević V, Detanac AD, Detanac SD, et al. Secondary peritonitis -evaluation of 204 cases and literature review. Journal of Medicine and Life. 2014;7:132-13816- Sekmen Ü, Müftüoğlu T, Sağıroğlu J, Güngör Ö. Multiple perforation along the entire colon as a complication of intestinal Behçet’s Disease: A rare case. The Saudi J Gastro 2008;14(2):85-717- Fujiwara S, Shimizu I, Ishikawa M, et al. Intestinal Behçet’s disease with esophageal ulcers and colonic longitudinal ulsers. World J Gastroenterol 2006;12(16);2622-2418- Ustun S, Dagci H, Aksoy U, Guruz Y, Ersoz G. Prevalence of amebiasis in inflammatory bowel disease in Turkey. World J Gastroenterol 2003; 9: 1834-519- Dowling CM, Hill ADK, Malone C, Sheehan JJ, et al. Colonic perforation in Behçet’s syndrome. World J Gastroenterol 2008;14(42):6578-8020- Baş Y. The Histomorphology of Colonic Behcet’s Disease. Gastroenterological and Intestinal Systems. 2017;5(1):1-621- Kasahara Y, Tanaka S, Nishino M, et al. Intestinal involvement in Behçet’s disease: Review of 136 surgical cases in the Japanese literature. Dis Colon Rectum 1981;24:103-622- Mitchell A, Dugas A, Collagenous colitis presenting as spontaneous perforation in an 80 year old woman: Report of a Case. BMC Gastroenterology. 2016;16:124 23- Freeman HJ. Long-term natural history and complications of collagenous colitis. Can J Gastroenterol 2012;26(9):627-63024- Awasthi S, Saxena M, Ahmad F, Kumar A, Dutta S. Abdominal Tuberculosis: A Diagnostic Dilemma. J Clin Diagn Res. 2015 ;9(5):EC01-325- Lee MJ, Cresswell FV, John L, Davidson RN (2012) Diagnosis and treatment strategies of tuberculous intestinal perforations: a case series. Eur J Gas troenterol Hepatol 24:594–59926- Tandon HD, Prakash A. Pathology of intestinal tuberculosis and its distinction from Crohn's disease. Gut. 1972;13:260-69.27- Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120:305-15.28- Tamai M, Satoh M, Tsujimoto A. Segmental muscular defects of intestine: a possible cause of spontaneous perforastion of the bowel in adults. Hum Pathol. 2013;44(12):2643-5029- Eugene SA Yeo et al. Perforated Colorectal Cancer vs Diverticular Abscess, Letter to the Editor, Ann Acad Med Singapore. 2011;40(8):375-830- Glotzer DJ, Gpihl BG. Experimental obstructive colitis. Arch Surg. 1966;92:1–831- Killingback MJ, Williams KL. Necrotizing colitis. Br J Surg. 1961;49:175–18532- Iqbal CW, Chun YS, Farley DR. Colonoscopic perforations: a retrospective review. J Gastrointest Surg. 2005;9:1229-123633- Chiu CJ, McArdle AH, Brown R, Scott HJ, Gurd FN. Intestinal mucosal lesion in low-flow states. I A morphologic, hemodynamic and and metabolic reappraisal. Arch. Surg. 1970;101:47834- Jurdi NE, Bankoff M, Klein A, W. Saif MW. Perforation of the Colon During Imatinib Mesylate (Gleevec) Treatment in a Patient with Chronic Myeloid Leukemia (CML). Cureus 2016;8(6): e660. DOI 10.7759/cureus.66035- Yamaguchi T, Ohyama S, Furukawa H, Sato N, Ohnishi I, Kasashima S, et al. Sigmoid colon diverticula perforation associated with sevelamer hydrochloride administration: A case report. Annals of Medicine and Surgery. 2016;10:57-60

Kolon perforasyonunda histomorfolojik tanı güçlükleri

Year 2018, Volume: 1 Issue: 1, 13 - 18, 05.04.2018
https://doi.org/10.32322/jhsm.397678

Abstract

Bu derlemede, kolon perforasyonu
saptanan ve parsiyel/total kolektomi uygulanan olgularda histomorfolojik tanı
güçlükleri değerlendirildi. Patoloji pratiğinde klinik bilgiler dâhilinde kolon
perforasyonunun histomorfolojik bulgularını rapor etmek güç olmamakla birlikte
bazı vakalarda karakteristik bulguların olmayışı tanı güçlükleri
doğurabilmektedir. Her ne kadar histolojik tanı için klinik bilgiler çoğu zaman
yeterli olsa da, Crohn, amibik kolit ve intestinal Behçet hastalığı gibi
vakalarda ayırıcı tanı güçlükleri patoloji pratiğinde yaşanmaktadır.

References

  • 1- Gourgiotis S, Liakos N, Gemenetzis G, Seretis C, Aloizos S, Vougas V, et al. Less commen nontraumatic bowel perforations: diagnosis and management through a retrospective study. Am Surg 2013;79(4):381-72- Cohen MH, Reines JM. Spontaneous perforation of the ascending colon: Report of case and rewiew of the literature. Journal AOA 1976;75:596-6013- Ng DC, Kwok SY, Cheng Y et al. Colonic amoebic abscess mimicking carcinoma of colon. Hong Kong Med J 2006;12:71-34- Diagnostic Pathology of Parasitic Infections with Clinical Correlations, Second Ed., Yezid Gutierrez, Oxford Unıversity Press, 2000, p150-152.5- Weinrach DM, Wang KL. Amebic colitis in an asymptomatic patient. Arch Pathol Lab Med 2003;127:7626- Suarez AG, Olano AMC, Vaskuez M, Sousa Vaquero JM, Socas Macías M, Mendoza García E. Acut fulminant colitis caused by intestinal amebiasis. Rev. Asp. Enferm Dig. 2006;98:559-607- Haque R, Huston CD, Hughes M et al. Amebiasis. N Engl J Med 2003;348:1565-738- Singla K, Mahajan G, Agarwal S, Sharma S. Role of histopathological examination in nontraumatic perforation of colon. Trop Gastroenterol. 2012;33(4):265-99- Jones OP, Murphy JA, et al. Colocutaneous fistula secondary of amoebiasis. Int J Surg Case Rep 2011;2(3):40-4310- Athie-Gutierrez C, Rodea-Rosas H, Guizar-Bermudez C, et al. Evolution of surgical treatment of amebiasis-associated colon perforation. J Gastrointest Surg 2010;14(1):82-8711- Systemic vasculitis involving the gastrointestinal tract. John Hart, M.D. Professor, Sections of sugical Pathology & Gastroenterology University of Chicago Medical Center. (test.pathologyportal.org/site~/101st/pdf/companion16h04.pdf)12- Karakaya K, Cömert M, Numanoğlu G. Multiple perforation along the transverse colon as a rare presentation of intestinal Behçet’s disease: A case report. Clinics 2009;64(12):1231-313- Juan Rosai, Surgıcal Pathology, Tenth edition, MOSBY Elsevier, 2011, Vol.1 pp741,742,746, 14- Peng QH, Wang YF, He MQ, Zhang C, Tang Q. Clinical literature review of 1858 Crohn's disease cases requiring surgery in China. World J Gastroenterol 2015; 21(15): 4735-474315- Doklestić SK, Bajec DD, Djukić RV, Bumbaširević V, Detanac AD, Detanac SD, et al. Secondary peritonitis -evaluation of 204 cases and literature review. Journal of Medicine and Life. 2014;7:132-13816- Sekmen Ü, Müftüoğlu T, Sağıroğlu J, Güngör Ö. Multiple perforation along the entire colon as a complication of intestinal Behçet’s Disease: A rare case. The Saudi J Gastro 2008;14(2):85-717- Fujiwara S, Shimizu I, Ishikawa M, et al. Intestinal Behçet’s disease with esophageal ulcers and colonic longitudinal ulsers. World J Gastroenterol 2006;12(16);2622-2418- Ustun S, Dagci H, Aksoy U, Guruz Y, Ersoz G. Prevalence of amebiasis in inflammatory bowel disease in Turkey. World J Gastroenterol 2003; 9: 1834-519- Dowling CM, Hill ADK, Malone C, Sheehan JJ, et al. Colonic perforation in Behçet’s syndrome. World J Gastroenterol 2008;14(42):6578-8020- Baş Y. The Histomorphology of Colonic Behcet’s Disease. Gastroenterological and Intestinal Systems. 2017;5(1):1-621- Kasahara Y, Tanaka S, Nishino M, et al. Intestinal involvement in Behçet’s disease: Review of 136 surgical cases in the Japanese literature. Dis Colon Rectum 1981;24:103-622- Mitchell A, Dugas A, Collagenous colitis presenting as spontaneous perforation in an 80 year old woman: Report of a Case. BMC Gastroenterology. 2016;16:124 23- Freeman HJ. Long-term natural history and complications of collagenous colitis. Can J Gastroenterol 2012;26(9):627-63024- Awasthi S, Saxena M, Ahmad F, Kumar A, Dutta S. Abdominal Tuberculosis: A Diagnostic Dilemma. J Clin Diagn Res. 2015 ;9(5):EC01-325- Lee MJ, Cresswell FV, John L, Davidson RN (2012) Diagnosis and treatment strategies of tuberculous intestinal perforations: a case series. Eur J Gas troenterol Hepatol 24:594–59926- Tandon HD, Prakash A. Pathology of intestinal tuberculosis and its distinction from Crohn's disease. Gut. 1972;13:260-69.27- Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120:305-15.28- Tamai M, Satoh M, Tsujimoto A. Segmental muscular defects of intestine: a possible cause of spontaneous perforastion of the bowel in adults. Hum Pathol. 2013;44(12):2643-5029- Eugene SA Yeo et al. Perforated Colorectal Cancer vs Diverticular Abscess, Letter to the Editor, Ann Acad Med Singapore. 2011;40(8):375-830- Glotzer DJ, Gpihl BG. Experimental obstructive colitis. Arch Surg. 1966;92:1–831- Killingback MJ, Williams KL. Necrotizing colitis. Br J Surg. 1961;49:175–18532- Iqbal CW, Chun YS, Farley DR. Colonoscopic perforations: a retrospective review. J Gastrointest Surg. 2005;9:1229-123633- Chiu CJ, McArdle AH, Brown R, Scott HJ, Gurd FN. Intestinal mucosal lesion in low-flow states. I A morphologic, hemodynamic and and metabolic reappraisal. Arch. Surg. 1970;101:47834- Jurdi NE, Bankoff M, Klein A, W. Saif MW. Perforation of the Colon During Imatinib Mesylate (Gleevec) Treatment in a Patient with Chronic Myeloid Leukemia (CML). Cureus 2016;8(6): e660. DOI 10.7759/cureus.66035- Yamaguchi T, Ohyama S, Furukawa H, Sato N, Ohnishi I, Kasashima S, et al. Sigmoid colon diverticula perforation associated with sevelamer hydrochloride administration: A case report. Annals of Medicine and Surgery. 2016;10:57-60
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Yılmaz Baş 0000-0002-4229-8568

Mustafa Şahin 0000-0001-6073-563X

Publication Date April 5, 2018
Published in Issue Year 2018 Volume: 1 Issue: 1

Cite

AMA Baş Y, Şahin M. Kolon perforasyonunda histomorfolojik tanı güçlükleri. J Health Sci Med / JHSM. April 2018;1(1):13-18. doi:10.32322/jhsm.397678

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