Presentation
History of inflammatory bowel disease
Patient Data
Age: 40 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101484/annotated_viewer_json?iframe=true\u0026lang=us"}
The colon all the way to the hepatic flexure demonstrates a tubular featureless colonic contour. In some areas, a granular mucosal pattern with small superficial ulcers can also be seen (as at the hepatic flexure in the second and third images).
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101485/annotated_viewer_json?iframe=true\u0026lang=us"}
Colonoscopy in this patient: ulcerated tissue mucosa with exudate -- there is inflammatory tissue bridging across the lumen.
Case Discussion
A granular appearance of the colonic mucosa represents edema and small erosions. This is one of the earliest radiographic sign of ulcerative colitis, although in this case it was visible in long-standing disease.