Multiple Filling Defects in the Colon

Abstract

Common [Diverticula] Familial polyposis Polyps, adenomatous Pseudopolyps of ulcerative colitis, granulomatous colitis, amebiasis Stool; foreign bodies; air bubbles; food particles; mucus Uncommon Amebomas Amyloidosis Carcinomas, multiple Colitis cystica profunda Cronkhite-Canada syndrome Gardner syndrome Lipomatous polyposis Lymphoid hyperplasia Lymphoma Metastases Mucoviscidosis Neurofibromatosis; ganglioneurofibromatosis Parasites, intraluminal (ascariasis, trichuriasis) Peutz-Jeghers syndrome (hamartomatous polyps) Pneumatosis cystoides intestinalis Polyposis, juvenile Schistosomiasis Turcot syndrome (Entity in brackets may be confused roentgenographically with multiple filling defects in the colon.) Diagnosis Familial polyposis of the colon. Comment A 22-year-old man was first seen with anemia and failure to gain weight. No gastrointestinal or pulmonary symptoms were present. There was a strong family history of carcinoma of the colon. Physical examination was unremarkable. An upper gastrointestinal series, bone survey, and chest roentgenograms were normal. A barium enema (Fig 1) demonstrated