Presentation
Patient presents with refractory inflammatory bowel symptoms with diarrhea, pain and per rectum bleeding.
Patient Data
Age: 40 years
Gender: Male
From the case:
Ulcerative colitis (gross pathology)
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Info
Segment of colon showing; extensive congestion and hemorrhage, irregular ulceration with pseudopolyp formation, and only minimal wall thickening.
The macroscopic features favor 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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