Ulcerative colitis

Case contributed by Dr MT Niknejad

Presentation

Chronic abdominopelvic pain.

Patient Data

Age: 35 years
Gender: Female
CT

Circumferential increased wall thickness of the rectosigmoid colon. There are also multiple mesenteric, pericolic and perirectal lymphadenopathies with maximum SAD of 13mm. 
Several hypodense lesions are seen in the spleen measuring less than 17mm.

Case Discussion

Known case of inflammatory bowel disease with rectosigmoid involvement. (path proven ulcerative colitis)
In ulcerative colitis involvement of the rectum is almost always present, with the disease involving variable amounts of the most proximal colon, in continuity. Skip lesions are not common in these cases.

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