Case Report
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Jul 14, 2014; 20(26): 8717-8721
Published online Jul 14, 2014. doi: 10.3748/wjg.v20.i26.8717
Table 1 Reported cases of large bowel xanthogranulomatous inflammation
RefAge (yr)/sexInvolved organsClinical presentationCT findings preoperative diagnosisSurgical operation/ pathology
Anadol et al[2]57/FCecum and appendixRLQ abdominal pain, rectorrhagia, anemiaCT: Solid mass in the RLQ with poorly defined margins and mesenteric fatty tissue infiltrationCecum cancerAppendectomy
Frozen section
Right colectomy
XGI of the cecum
Davis et al[3]30/FAnorectal areaRectal and sacral pain, nausea, weight loss, palpable tender mass on rectal examinationCT: two masses involving the intramural portion of the distal rectal wallPosterior approach, removal of the tumors, reapproximation of the rectal wall
Tumor involving the sacrumXGI of a Müllerian duct remnant involving the anorectum
Lo et al[4]72/MSigmoid colonIntestinal obstruction, palpable tender mass in the LIF, tenesmus, nausea and weight lossBarium enema: stricture at the sigmoid colon causing obstructionExcision of the mass including sigmoid colon, proximal jejunum and part of the peritoneum
Sigmoid cancer or diverticulitis with strictureXGI of the sigmoid colon
Oh et al[5]38/FSigmoid colon, appendix, salpinxAbdominal pain, diarrhoea, fever, mild RLQ tenderness without any palpable massCT: Colonic loop around the rectosigmoid junction with mesenteric fat infiltrationResection of the sigmoid colon, appendectomy, right salpingectomy
Sigmoid cancerXGI of the sigmoid colon
Dhawan et al[6]60/MAscending colonAbdominal pain, constipation, vomitingCT: irregular circumferential thickening involving 6 cm of the ascending colon. Multiple small pericolic lymph nodesRight colectomy
Right colon cancerXGI of the ascending colon with mucosal involvement
Present case56/FCecum, jejunal loopAbdominal pain, palpable mass in the RIF, fever and weight lossCT: expansive mass originating from the cecum with necrotic areas that seems to involve VI liver segment. Many lymph nodes enlarged, especially next to the mass.Right colectomy
Right colon cancerXGI of the ileocecal valve