Colonic muco-submucosal elongated polyp misdiagnosed as an inverted colonic diverticulum.

IF 4 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-01 DOI:10.17235/reed.2024.10153/2023
Yimin Ma, Kangwei Zhang, Youhong Cao
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Abstract

Colonic muco-submucosal elongated polyp is a large intestine polyp with a long and broad stalk and a "worm-like" appearance which is covered by normal mucosa. The submucosal layer consists of edematous and fibrotic interstitium, adipose tissue, dilated blood vessels, and lymphatic follicles. Endoscopic magnification of the mucosal surface showed a uniform honeycomb pattern of regular colonic muco-submucosal elongated polyp vessels, with soft and deformable "folds" and "gyrus" at the top. The exact pathogenesis of CMSEP is still unclear.

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一例被误诊为倒置结肠憩室(ICD)的结肠粘膜下拉长息肉(CMSEP)。
CMSEP 是一种大肠息肉,其柄长而宽,外观呈 "蠕虫状",被正常粘膜覆盖。粘膜下层由水肿和纤维化间质、脂肪组织、扩张的血管和淋巴滤泡组成[1]。粘膜表面的内镜放大图显示,规则的血管呈均匀的蜂窝状,顶部有柔软、可变形的 "褶皱 "和 "回旋"。CMSEP 的确切发病机制尚不清楚。
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来源期刊
CiteScore
2.00
自引率
25.00%
发文量
400
审稿时长
6-12 weeks
期刊介绍: La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.
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