Ulcerative colitis

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Long standing gastrointestinal disease.

Patient Data

Age: 40 years
Gender: Male
ct

No evidence of active bleeding. There is mild pan-colonic and rectal wall thickening, mucosal hyper-enhancement and increased mesenteric vascularity, compatible with the history of ulcerative colitis. No terminal ileal thickening. Trace of free intraperitoneal fluid. No free air. No evidence of toxic megacolon. Simple renal cysts. The remainder of the organs are normal.

Case Discussion

The patient has had biopsies: 

Histology

Biopsies from splenic flexure, sigmoid colon and rectum: Chronic inflammatory bowel disease with mild activity within the sigmoid colon and rectum. The histological features are consistent with the diagnosis of ulcerative colitis.

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