title: Lymphocytic colitis complicated by a mass in the terminal ileum.
abstract: Lymphocytic colitis is a chronic inflammatory disease affecting the bowel. The clinical course of lymphocytic colitis is believed to be benign with watery diarrhoea. We report herein what is, to the best of our knowledge, the first case of lymphocytic colitis complicated by a terminal ileal mass. A 23-year-old man presented with diarrhoea. Blind biopsies of samples taken from the terminal ileum, caecum and ascending colon showed features of lymphocytic colitis. He declined treatment with budesonide or 5-aminosalicylates. He presented 14 months later with pain over the right lumbar region and nausea. Computed tomographic enteroclysis showed a focal soft tissue enhancing mass at the terminal ileum. Excision of the soft tissue mass revealed that it was reactive nodular lymphoid hyperplasia with fibrous granulation tissue. In conclusion, an untreated lymphocytic colitis may result in the formation of an inflammatory mass lesion.
authors.affiliation: Centre For Alimentary Studies, Hong Kong SAR, China ; Quality Healthcare Medical Services, Hong Kong SAR, China.
authors.forename: Chee-Kin
authors.initials: CK
authors.lastname: Hui
mesh_terms: D001706:Biopsy; D019819:Budesonide / Q000627:therapeutic use; D002432:Cecum / Q000473:pathology; D046730:Colitis, Lymphocytic / Q000150:complications* / Q000628:therapy; D003113:Colonoscopy; D003967:Diarrhea / Q000150:complications; D005355:Fibrosis; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D006965:Hyperplasia; D007082:Ileum / Q000473:pathology*; D007249:Inflammation; D007413:Intestinal Mucosa / Q000473:pathology*; D008297:Male; D009325:Nausea; D014054:Tomography; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D019819:Budesonide
keywords: abdominal pain; computed tomographic enteroclysis; lymphocytic colitis; nausea; terminal ileal mass