[Nonspecific colon ulcer--case report].

UNLABELLED: Nonspecific colon ulcer (NSCU) was described by Crulveilhier in 1832, but strict definition, occurrence rates and diagnostic and therapeutic guidelines have not been yet established.

AIM: to present a case of a rare disease of the colon with discussion on diagnostic and therapeutic principles.

CASE REPORT: A 28-year-old female diagnosed for constipation and flatulence underwent endoscopy and a descending colon lumen stenosis, measuring about 1.0 cm in length, with some mucosal erosions, was found. On the basis of the performed diagnostics, unspecific nature of the disease was determined and conservative treatment with endoscopic follow-up was initiated. In a follow-up examination, performed 2 months later, spontaneous ulceration healing was revealed with a scar replacing the abovementioned lesion.

DISCUSSION: Clinical symptoms depend on disease dynamics and lesion location. Diagnosis is based on exclusion of known vascular, infective, unspecific inflammatory and traumatic causes. Therapy of uncomplicated causes is based on conservative treatment with endoscopic follow-up.

CONCLUSIONS

The disease does not cause any specific clinical symptoms and often mimics other abdominal diseases. Diagnosis is based on exclusion of known causes. Therapy of most uncomplicated cases comprises conservative therapy and endoscopic follow-up.