Ulcerative colitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Chronic abdominal pain.

Patient Data

Age: 40 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
delayed
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

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.

pathology
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Info

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.

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