Inflammatory bowel disease (MR enterography)

Case contributed by Dr Bahman Rasuli

Presentation

Intermittent rectal bleeding and abdominal pain.

Patient Data

Age: 50 years
Gender: Female

Thickening of the rectosigmoid loops wall and submucosal fat deposition are seen associated with the mural enhancement and water restriction.

Mesenteric vascular congestion of the sigmoid colon associated with multiple reactive lymph nodes within the rectosigmoid mesentery also is seen. 

Case Discussion

Endoscopic rectal biopsy: Sections show the non-oriented tangential view of the large intestinal mucosa with marked infiltration of acute and chronic inflammatory cells, composed of lymphocytes, plasma cells and PMNs with characteristic lymphoid aggregation and foci of crypt involvement (cryptitis) without crypt abscess formation. The crypt architecture shows mild variation in size with goblet cells depletion. The epithelial lining of gland also shows mild reactive atypia.

Diagnosis: Chronic active colitis suggestive for IBD (ulcerative colitis).

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Case information

rID: 69990
Published: 30th Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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