Subscribe to RSS
DOI: 10.1055/s-2006-927228
© Karl Demeter Verlag im Georg Thieme Verlag KG Stuttgart · New York
Onerous Concomitant Complications of Ulcerative Colitis: A Case Report
Beschwerliche Begleiterscheinungen bei ulzerativer Kolitis: Eine FallstudiePublication History
manuscript received: 22.7.2006
manuscript accepted: 26.9.2006
Publication Date:
15 May 2007 (online)

Zusammenfassung
Ulzerative Kolitis ist eine chronische Entzündung des Kolons, gekennzeichnet durch zeitweilige Exazerbation und Remission. Es kann durch Darmkrebs oder durch eine autoimmun bedingte, extraintestinale Manifestation erschwert werden. Wir stellen hier das Krankheitsbild einer Frau mit ulzerativer Kolitis dar, die die folgenden Krankheiten entwickelte: Sarkoidose, Darmkrebs, primär sklerosierende Cholangitis (PSC) und Gallengangskarzinom. Unserem Wissen nach wurden diese Symptome bisher noch nie bei einem Patienten in solch einer Kombination festgestellt.
Abstract
Ulcerative colitis is a chronic inflammatory disease of the colon characterized by intermittent exacerbations and remissions. It may be complicated with colon cancer or autoimmune-related extracolonic problems. Herein, we present a woman with ulcerative colitis who developed sarcoidosis, colon cancer, primary sclerosing cholangitis, and cholangiocarcinoma. To our knowledge, such associations in a patient have not been reported before.
Schlüsselwörter
ulzerative Kolitis - entzündliche Darmerkrankung - primär sklerosierende Cholangitis - Kolonkrebs - Gallengangkarzinom - malignes Cholangiom - Sarkoidose
Key words
autoimmune disease - ulcerative colitis - inflammatory bowel disease - primary sclerosing cholangitis - colon cancer - bile duct carcinoma - cholangiocarcinoma - sarcoidosis
References
- 1
Sartor R B.
Current concepts of the etiology and pathogenesis of ulcerative colitis and Crohn’s
disease.
Gastroenterol Clin N Am.
1995;
24
475-507
MissingFormLabel
- 2
Zeitz M.
Pathogenesis of inflammatory bowel disease.
Digestion.
1997;
58 (Suppl 1)
59-61
MissingFormLabel
- 3
Wee A, Ludwig J, Coffey R J. et al .
Hepatobiliary carcinoma associated with primary sclerosing cholangitis and chronic
ulcerative colitis.
Hum Pathol.
1985;
16
719-726
MissingFormLabel
- 4
Barr G D, Shale D J, Jewel D P.
Ulcerative colitis and sarcoidosis.
Postgrad Med J.
1986;
62
341-345
MissingFormLabel
- 5
Ilan Y, Rappaport I, Feigin R. et al .
Primary sclerosing cholangitis in sarcoidosis.
J Clin Gastroenterol.
1993;
16
326-328
MissingFormLabel
- 6
Alam I, Levenson S D, Ferrell L D. et al .
Diffuse intrahepatic biliary strictures in sarcoidosis resembling sclerosing cholangitis.
Dig Dis Sci.
1997;
42
1295-1301
MissingFormLabel
- 7
Angulo P, Lındor K D.
Primary sclerosing cholangitis.
Hepatology.
1999;
30
325-332
MissingFormLabel
- 8
Eaden J, Abrams K, Ekbom A. et al .
Colorectal cancer prevention in ulcerative colitis: a case-control study.
Aliment Pharmacol Ther.
2000;
14
145-153
MissingFormLabel
- 9
Rabinowitz M, Gavaler J S, Schade R R. et al .
Does primary sclerosing cholangitis occurring in association with inflammatory bowel
disease differ from that occuring in the absence of inflammatory bowel disease? A
study of sixty-six subjects.
Hepatology.
1990;
11
7-11
MissingFormLabel
- 10
Nılubol N, Taub P J, Venturero M. et al .
Ulcerative colitis and sarcoidosis.
Mountsinai J Med.
2001;
68
400-402
MissingFormLabel
- 11
Herrlinger K R, Noftz M K, Dalhoff K. et al .
Alterations in pulmonary function in inflammatory bowel disease are frequent and persist
during remission.
Am J Gastroenterol.
2002;
97
377-381
MissingFormLabel
- 12
Higenbottam T, Cochrane G M, Clarck T CH. et al .
Bronchial disease in ulcerative colitis.
Thorax.
1980;
35
581-585
MissingFormLabel
- 13
Storch I, Rosoff L, Katz S.
Sarcoidosis and inflammatory bowel disease.
J Clin Gastroenterol.
2001;
33
345
MissingFormLabel
- 14
Isenberg J I, Goldstein H, Korn A R. et al .
Pulmonary vasculitis: an uncommon complication of ulcerative colitis.
N Engl J Med.
1968;
279
1376-1377
MissingFormLabel
- 15
Delco F, Sonnenberg A.
A decision analysis of surveillance for colorectal cancer in ulcerative colitis.
Gut.
2000;
46
500-506
MissingFormLabel
- 16
Eaden J A, Abrams K R, Mayberry J F.
The risk of colorectal cancer in ulcerative colitis: a meta-analysis.
Gut.
2001;
48
526-535
MissingFormLabel
- 17
Kornfeld D, Ekbom A, Ihre T.
Is there an excess risk for colorectal cancer in patient with ulcerative colitis and
concomitant primary sclerosing cholangitis? A populations based study.
Gut.
1997;
41
522-525
MissingFormLabel
- 18
Loftus E V, Harewood G C, Loftus C G. et al .
PSC-IBD: a unique form of inflammatory bowel diseaseassociated with primary sclerosing
cholangitis.
Gut.
2005;
54
91-96
MissingFormLabel
- 19
Bambha K, Kım W R, Talwalkar J. et al .
Incidince, clinical spectrum, and outcomes of primary sclerosing cholangitis in a
United States Community.
Gastroenterology.
2003;
125
1364-1369
MissingFormLabel
- 20
Pungpapong S, Steers J L, Wallace M B. et al .
Hepatobiliary sarcoidosis mimicking Klatskin’s cholangiocarcinoma.
Gastrointest Endosc.
2006;
64
124-125
MissingFormLabel
- 21
Mir-Madjlessi S H, Sivak M V, Farmer R G.
Hypereosinophilia, ulcerative colitis, sclerosing cholangitis, and bile duct carcinoma.
Am J Gastroenterol.
1986;
81
483-485
MissingFormLabel
- 22
Suriawinata A A, Thung S N.
Malignant liver tumors.
Clin Liver Dis.
2002;
6
527-554
MissingFormLabel
- 23
Van Steenbergen W, Fevery J, Vandenbrande P. et al .
Ulcerative colitis, primary sclerosing cholangitis, bile duct carcinom and generalized
sarcoidosis.
J Clin Gastroenterol.
1987;
9
574-579
MissingFormLabel
- 24
Spurkland A, Saarinen S, Boberg K M. et al .
HLA class II haplotypes in primary sclerosing cholangitis patients from five European
populations.
Tissue Antigens.
1999;
53
459-469
MissingFormLabel
- 25
Saarinen S, Olerup O, Boome U.
Increased frequency of autoimmune diseases in patients with primary sclerosing cholangitis.
Am J Gastroenterol.
2000;
95
3195-3199
MissingFormLabel
- 26
Ueyama H, Kiyohara T, Sawada N. et al .
High Fas ligand expression on lymhocytes in lesions of ulcerative colitis.
Gut.
1998;
43
48-55
MissingFormLabel
Seyfettin Köklü
Karargahtepe mahallesi, Kumrulu sokak
No: 18/1, Keçiören
Ankara, Turkey
Phone: ++90/3 12/3 61 25 68
Fax: ++90/3 12/3 12 41 20
Email: gskoklu@yahoo.com