Volume 66 Number 2 March 1999	back to contents

Colonic Obstruction Due to Sigmoid Muscular Hyperplasia	106 - 108
Bette Harig, M.D.1, Daniel J. Goldstein, M.D.2, Yale Rosen, M.D.3, And Jack Farman M.B., Ch.B.4
1Department of Radiology, Lenox Hill Hospital and Departments of 2Surgery and 4Radiology, Columbia-Presbyterian Medical Center, Columbia University, New York, NY. Present Addresses: 1Fort Myers Radiology Associates, Fort Myers, FL, and 3Department of Pathology, Winthrop University Hospital, Mineola, NY. Address correspondence to Daniel J. Goldstein, M.D., Department of Surgery, Columbia-Presbyterian Medical Center, 622 West 168th Street. Box 268, New York, NY 10032.

ABSTRACT
We report a case of acute colonic obstruction initially presumed to be secondary to acute diverticulitis, necessitating emergent surgical intervention. Pathologic examination failed to reveal evidence of inflammation, fibrosis or neoplasia. Marked hypertrophy of the sigmoid circular muscle layer was documented and thought to be the etiology of the colonic obstruction.

KEY WORDS
Colon obstruction, sigmoid colon, muscle hypertrophy, barium enema

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