Ulcerative colitis

Case contributed by Dr Andrew Ryan

Presentation

Patient presents with refractory inflammatory bowel symptoms with diarrhoea, pain and per rectum bleeding.

Patient Data

Age: 38
Gender: Male
Pathology

Segment of colon showing; extensive congestion and haemorrhage, irregular ulceration with pseudopolyp formation, and only minimal wall thickening.

The macroscopic features favour ulcerative colitis; this is based on continuous ('diffuse') ulceration, pseudopolyps (they are not true polyps, rather they are islands of residual intact mucosa within an area of ulceration), the muscualris propria and serosa are unremarkable (c.f. Crohn disease).  

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Case information

rID: 16115
Published: 20th Dec 2011
Last edited: 16th Apr 2018
Inclusion in quiz mode: Excluded

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