CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2011; 02(01): 018-021
DOI: 10.1055/s-0039-1700255
Case Report
Society of Gastrointestinal Endoscopy of India

Ganglioneuromatous Polyposis of the Colon: a Case Report and a Review of the Literature

Cristina D'Ercole
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
,
Angelo Zullo
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
,
Maria Consiglia Bragazzi
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
,
Cesare Hassan
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
,
Roberto Lorenzetti
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
,
Salvatore Maria Antonio Campo
Gastroenterology Unit, Ospedale Nuovo Regina Margherita, Rome, Italy
› Author Affiliations
Further Information

Publication History

Received: 08 September 2010

Accepted: 19 December 2010

Publication Date:
26 September 2019 (online)

ABSTRACT

This report discusses a case of ganglioneuromatous polyposis of the colon in a woman without any other systemic manifestations. To our knowledge, this is the first report of the few cases of intestinal ganglioneuromatosis described in the literature presenting with abdominal pain and bloody diarrhea as unique clinical signs, with multiple polyps confined in the right side of the transverse colon and in the ascending colon. Of note, the endoscopic feature of such a rare entity - which involves the enteric nervous system - may mimic that of sessile adenomatous polyps which are diagnosed at routine colonoscopy. We emphasized that this condition may be misdiagnosed, and we reviewed the reported cases in the literature. (J Dig Endosc 2011;2(1):18-21)

 
  • References

  • 1 Kris M Shekitka, Leslie H Sobin: Ganglioneuromas of the gastrointestinal tract: relation to von Recklinghausen’s disease and other multiple tumor syndrome. Am J Surg Pathol 1994;18:250-7.
  • 2 Weidner N, Flanders DJ, Mitros FA. Mucosal ganglioneuromatosis associated with multiple colonic polyps. Am J Surg Pathol 1984;8:779-86.
  • 3 Chambonnière ML, Porcheron J, Scoazec JY, Audigier JC, Mosnier JF. Intestinal ganglioneuromatosis diagnosed in adult patients. Gastroenterol Clin Biol 2003;27:219-24.
  • 4 Chan OT, Haghighi P. Hamartomatous polyps of the colon: ganglioneuromatous, stromal, and lipomatous. Arch Pathol Lab Med 2006;130:1561-6.
  • 5 Di Liberti JH, Weleber RG, Budden S. Ruvalcaba-Myhre-Smith syndrome: a case with probable autosomal-dominant inheritance and additional manifestations. Am J Med Genet 1983;15:491-5.
  • 6 Lashner BA, Riddell RH, Winans CS. Ganglioneuromatosis of the colon and extensive glycogenic acanthosis in Cowden’s disease. Dig Dis Sci 1986;31:213-6.
  • 7 Suzuki T, Kikuchi K, Tomioka H, Tanifuji K. A case of colonic polypoip ganglioneuromatosis – a light microscopy, electron microscopy and immunohistochemical study. Gan No Rinsho 1988;34:365-73.
  • 8 Smith VV, Eng C, Milla PJ. Intestinal ganglioneuromatosis and multiple endocrine neoplasia type 2B: implications for treatment. Gut 1999;45:143-6.
  • 9 Artaza T, Garcia JF, Gonzalez C, Amengual M, Mazarro A, Rodríguez R, Sánchez JJ. Simultaneous involvement of the jejunum and the colon by type-1 neurofibromatosis. Scand J Gastroenterol 1999;34:331-4.
  • 10 Macenlle R, Fernández-Seara J, Pato M, Pereira J, Pascual P, Montero M, Miranda C. Ganglioneuromatous polyposis of the colon associated with adenocarcinoma and primary hyperparathyroidism. Eur J Gastroenterol Hepatol 1999;11: 447-50.
  • 11 Kanter AS, Hyman NH, Li SC. Ganglioneuromatous polyposis: a premalignant condition. Report of a case and review of the literature. Dis Colon Rectum 2001;44:591-3.
  • 12 Michalak S, Croué A, Valo I, Dib N, Boyer J. Diffuse colonic ganglioneuromatous polyposis. Ann Pathol 2004;24:129-34.
  • 13 Thway K, Fisher C. Diffuse ganglioneuromatosis in small intestine associated with neurofibromatosis type 1. Ann Diagn Pathol 2009;13:50-4.
  • 14 Mendez IM, Pereda T, Rodriguez FJ, Funez R, Sanchez A. Solitary colonic polypoid ganglioneuroma. Diagn Pathol 2008;3:20.
  • 15 Soccorso G, Puls F, Richards C, Pringle H, Nour S. A ganglioneuroma of the sigmoid colon presenting as leading point of intussusception in a child: a case report. J Pediatr Surg 2009;44:17-20.
  • 16 Mendelsohn G, Diamond MP. Familial ganglioneuromatous polyposis of the large bowel. Report of a family with associated juvenile polyposis. Am J Surg Pathol 1984;8:515-20.
  • 17 d’Amore ES, Manivel JC, Pettinato G, Niehans GA, Snover DC. Intestinal ganglioneuromatosis: mucosal and transmural types. A clinicopathologic and immunohistochemical study of six cases. Human Pathol 1991;22:276-86.
  • 18 Behrendt N, Anderson J, Rossen K. Intestinal ganglioneuromatosis – a rare cause of chronic diarrhea. Ugeskr Laeger 1998;160:7139-40.