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'The fat-encrusted colon'. A radiological abnormality of colonic mucosa occurring in patients with steatorrhoea



'The fat-encrusted colon'. A radiological abnormality of colonic mucosa occurring in patients with steatorrhoea



Scandinavian Journal of Gastroenterology 15(7): 841-848



The clinical and radiological features of 6 cases of fat-encrusted colon are described. In patients with steatorrhea, despite standard colonic preparation, fat may adhere to colonic mucosa and produce a radiological appearance that simulates the changes of inflammatory bowel disease. Steatorrhea was due to celiac disease in 5 patients, the 6th being a case of primary sclerosing cholangitis. The initial radiological diagnosis at Ba enema in all 6 patients was of inflammatory bowel disease. On the basis of this appearance surgery was advised in 3 patients, one of whom proceeded to laparotomy with a view to colectomy. The correct diagnosis can be established by familiarity with the radiological appearance and confirmed by repeating the Ba enema examination after 5 days of a fat-free diet, when the colonic mucosal pattern returns to normal.

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Accession: 000803108

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PMID: 7209392


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