Ulcerative colitis (barium enema)

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Patient with chronic diarrhea.

Patient Data

Age: 35 years
Gender: Male

The whole colon, without skips is affected by an irregular mucosa with loss of normal haustral markings.

Case Discussion

Continuous lesion without skip,or carpeting of the whole colon is classic for ulcerative colitis.

Mucosal inflammation causes a granular appearance to the surface of the bowel. As inflammation increases, the bowel wall and haustra thicken. Mucosal ulcers are undermined (button-shaped ulcers). When most of the mucosa has been lost, islands of mucosa remain giving it a pseudo-polyp appearance.

A unique case from Prof. Saeed Rad, Tabriz, Iran.


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