EDITOR'S QUIZ: GI SNAPSHOT
Sigmoid stricture in a 39-year-old female
Department of Clinical Sciences, Chair of Gastroenterology, L. Sacco University Hospital, Milan, Italy
Correspondence to:
Correspondence to:
Salvatore Greco
MD, Department of Clinical Sciences, Chair of Gastroenterology, "L. Sacco" University Hospital, Via G.B. Grassi, 74, 20157 Milano, Italy; salvatore.greco@unimi.it
| The first 150 words of the full text of this article appear below. |
A 37-year-old woman with confirmed ulcerative colitis (proctosigmoiditis), receiving mesalamine as medical prophylaxis, was referred to our unit with a 6-month history of recurrent colic abdominal pain that was more severe in the pelvic region. The pain was associated with constipation; the patient also complained of dysmenorrhoea and abnormal menstrual bleeding. Physical and rectal examinations were normal. During the previous 6 months, the patient had had a normal blood count, erythrocyte sedimentation rate (20 mm/h) and C-reactive protein (<1.0 mg/l).
Colonoscopy was performed only to the distal sigmoid colon because of a tight sigmoid stricture due to extrinsic compression; mucosal biopsies were normal. Abdominal ultrasound and contrast-enhanced CT scanning were performed.
Transabdominal ultrasound revealed an ovarian cystic mass with diffuse low-level homogeneous echoes. This lesion invaded the serosal surface of the colon and caused a focal thickening of the sigmoid colon wall (arrows) (figure 1
). The CT image showed
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
EDITOR’S QUIZ: GI SNAPSHOT
Gut 2007 56: 1256.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
