Presentation
Chronic abdominal pain.
Patient Data









The right kidney is not seen due to prior resection.
Circumferential increased wall thickness is present at distal half colon accompanied by pericolic fat stranding and small regional lymphadenopathies most consistent with inflammatory bowel disease.

Colonoscopy and biopsy performed for the patient and histopathology evaluation confirms severe active ulcerative colitis.
Case Discussion
Ulcerative colitis is an inflammatory bowel disease that not only predominantly affects the colon, but also has extra-intestinal manifestations. Typically it manifests in young adults and is more prevalent in males.