COLITIS CYSTICA PROFUNDA COMPLICATED BY COMPLETE COLORECTAL OBSTRUCTION

An unusual presentation of colitis cystica profunda was seen in a 39-y ear-old male with a complete colonic obstruction due to an intusscepti on with a rectosigmoid inflammatory mass. The patient had apparent ant ecedent distal ulcerative colitis and management included subtotal col ectomy. Removal of the rectosigmoid mass produced a satisfactory clini cal result with no colonoscopic or histological evidence of recurrent disease in the subsequent decade. Although rare, this entity should be considered during the evaluation of any inflammatory process involvin g the distal colon, especially if an inflammatory polypoid colonic mas s is present or a mucinous adenocarcinoma is suspected.