Intestinal pseudotumorous gouty nodulosis: A colonic tophus without manifestation of gouty arthritis Academic Article Article uri icon


MeSH Major

  • Osteomyelitis
  • Tuberculosis, Osteoarticular


  • A 37-year-old black woman with nephritis secondary to systemic lupus erythematosus, steroid-induced diabetes mellitus, and hypertension presented with fever, nausea, vomiting, and right upper quadrant abdominal pain with distension. Abdominal computed tomography (CT) scan revealed a colonic mass, and CT- guided fine-needle aspiration demonstrated birefringent crystalline material. After several weeks of antibiotic therapy, the patient underwent laparoscopic examination followed by extended right hemicolectomy for a large mass in the subserosa of the transverse colon. Pathological examination of this mass revealed it to be a gouty tophus. To our knowledge, no case of tophaceous gout presenting as an intestinal mass has previously been reported.

publication date

  • July 2004



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1016/j.humpath.2004.04.003

PubMed ID

  • 15257557

Additional Document Info

start page

  • 897

end page

  • 9


  • 35


  • 7