Pseudopolyps

The Common Vein Copyright 2008

Definition

Pseudopolyps are islands of normal tissue among an areas of extensive ulcearation.  The normal tissu appears raised above the surface masquerading as polyps, yet it is merely the remaining normal tissue.  The cause odf the ulceration is usually Crohn’s disease.

Pseudopolyps Crohn’s Disease 

Deep Serpigenous Ulcers (red) with Remaining Islands of Normal Tissue (green)

00668c02 colon + fx pseudopolyps fx ulceration dx Crohn’s disease grosspathology aka Crohn’s disease Courtesy Barbara Banner MD Overlay Davidoff MD

Pseudopolyps Crohn’s Disease

00669 colon sigmoid colon large bowel fx pseudopolyps fx ulceration dx Crohns disease BE barium enema aka Crohn’s disease Courtesy Ashley Davidoff MD

Pseudopolyps Crohn’s Disease

00669c01 colon sigmoid colon large bowel fx pseudopolyps fx ulceration dx Crohns disease BE barium enema aka Crohn’s disease Courtesy Ashley Davidoff MD

Pseudopolyps Crohn’s Disease 

Deep Serpigenous Ulcers (red) with Remaining Islands of Normal Tissue (green)

The BE is from a patient with active Crohn’s disease.  The shape of the edematous and near normal mucosa is more tubular in shape suggesting the presence of pseudopolyps – areas of hyperplastic and elongated remaining mucosa. 00918b Courtesy Ashley Davidoff MD

Davidoff MD