Extensive Giant Inflammatory Pseudopolyposis in Ulcerative Colitis

Abstract

Giant Inflammatory pseudo polyposis are rare complications seen usually in inflammatory bowel disease. We report a case of extensive giant inflammatory pseudo-polyposis in a 48 year old male with long standing history of ulcerative colitis (UC). His colonoscopy revealed large polypoidal mass in colon. He underwent procto-colectomy with ileal pouch anastomosis. Colectomy specimen revealed extensive circumferential polyposis (>500) filling the entire colon which on histology showed inflammatory polyps. This case highlights extensive polyposis disease in a long standing case of UC masquerading as a neoplasm.