© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
Unusual complication of tuberous sclerosis complex
1 Department of Pathology, CHU Amiens, Amiens Cedex 01, France
2 Department of Gastroenterology, CHU Amiens, Amiens Cedex 01, France
3 Department of Surgery, CHU Amiens, Amiens Cedex 01, France
Correspondence to:
Correspondence to:
D Chatelain
Service d’Anatomie Pathologique, CHU Amiens, Place Victor Pauchet, 80054 Amiens Cedex 01, France; Chatelain.denis@chu-amiens.fr
Keywords: rectal hamartomatous polyposis; hamartoma; rectum; tuberous sclerosis complex
| The first 100% of the full text of this article appears below. |
A 39 year old man with a known history of tuberous sclerosis complex (TSC) presented with haematuria due to haemorrhagic changes of a large renal angiomyolipoma. Selective transcatheter arterial embolisation of the lesion was performed. Haematuria resolved but the patient experienced postembolisation syndrome with fever, and presented with bowel obstructive symptoms. Abdominal radiographs showed marked dilatation of the colon. An acute colonic pseudo-obstruction (Ogilvie’s syndrome) was suspected and colonoscopic decompression was performed. Colonoscopy showed dilatation of the colon without mechanical obstruction and multiple sessile polyps localised in the rectum (fig 1A
). One polyp was biopsied and fig 1B shows the microscopic features.
[in a new window] Figure 1 (A) Endoscopy of the colon. (B) Microscopic examination of a biopsied polyp.
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Gut 2004 53: 1565.[Extract] [Full Text] [PDF]
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