REPORT
Nobel Med 2013; 9(2): 122-125

NON-STEROIDAL ANTI-INFLAMMATORY DRUG (NSAID)-RELATED COLOPATHY MIMICKING NEOPLASIA: CT FINDINGS

Gülgün Engin, Dilek Şahin, Emre Balık
ABSTRACT
A 67-year-old female patient who had lower quadrant pain for a week was assessed with abdominal CT and colonoscopy. Computed tomography revealed diffuse tumoral wall thickness in 10 cm segment of distal ascending colon. There was 13x9 mm in size a necrotic space in the central of lesion. Mesenteric adipose tissue was seen as heterogeneous. CT findings were evaluated as T3 colon tumor. Neither lymph node or liver metastases or mesenteric vascular pathology were not seen. Colonoscopy demonstrated bloody, vegetan mass which did not let the endoscope pass. Laparoscopic right hemicolectomy was performed. After surgery, there was no tumor in histopathologic examination. Microscopy revealed chronic inflammation and findings of closed perforation. There was no lymph node involvement. The patient had history of using NSAID for two months. This pathology was diagnostically challenging because of its similar endoscopic and CT findings with ischemic, inflammatory/ infectious bowel disease or neoplasia. Hence this pathology should be kept in mind in order to differentiate the diagnosis, especially in patients with a history of NSAID use.
Keywords
Colonic neoplasms Nonsteroidal anti-inflammatory agents Inflammatory bowel diseases Mesenteric vascular occlusion

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  • Pubmed Style
    Gülgün Engin, Dilek Şahin, Emre Balık. [STEROİD OLMAYAN ANTİ-İNFLAMATUAR İLAÇ KULLANIMI İLE İLİŞKİLİ NEOPLAZİYİ TAKLİT EDEN KOLOPATİ: BT BULGULARI]. Nobel Med 2013; 9(2): 122-125, Turkish.
  • Web Style
    Gülgün Engin, Dilek Şahin, Emre Balık. [STEROİD OLMAYAN ANTİ-İNFLAMATUAR İLAÇ KULLANIMI İLE İLİŞKİLİ NEOPLAZİYİ TAKLİT EDEN KOLOPATİ: BT BULGULARI]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish.
  • AMA (American Medical Association) Style
    Gülgün Engin, Dilek Şahin, Emre Balık. [STEROİD OLMAYAN ANTİ-İNFLAMATUAR İLAÇ KULLANIMI İLE İLİŞKİLİ NEOPLAZİYİ TAKLİT EDEN KOLOPATİ: BT BULGULARI]. Nobel Med 2013; 9(2): 122-125, Turkish.
  • Vancouver/ICMJE Style
    Gülgün Engin, Dilek Şahin, Emre Balık. [STEROİD OLMAYAN ANTİ-İNFLAMATUAR İLAÇ KULLANIMI İLE İLİŞKİLİ NEOPLAZİYİ TAKLİT EDEN KOLOPATİ: BT BULGULARI]. Nobel Med (2013); 9(2): 122-125, [cited Mayıs 24, 2021], Turkish.
  • Harvard Style
    Gülgün Engin, Dilek Şahin, Emre Balık. (2013) [STEROİD OLMAYAN ANTİ-İNFLAMATUAR İLAÇ KULLANIMI İLE İLİŞKİLİ NEOPLAZİYİ TAKLİT EDEN KOLOPATİ: BT BULGULARI]. Nobel Med, 9(2): 122-125, Turkish.