Presentation
Known ulcerative colitis. Presented with abdominal pain and bloating.
Patient Data
Age: 40 years
Gender: Female
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Submucosal fat deposition (measured by calipers on the longitudinal view) in the rectum in keeping with known chronic proctitis.
Case Discussion
Submucosal fat deposition can result from a variety of causes, such as chronic inflammatory bowel disease (ulcerative colitis and Crohn disease); post-chemotherapy and post-radiotherapy, celiac disease and now more commonly in obese patients (in particular with accompanying metabolic syndrome and insulin resistance). In a case of known ulcerative colitis, the appearance of submucosa fat infiltration is most likely due to chronic change.
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