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Unexpected colitis of the descending colon

Case contributed by Eugen Divjak
Diagnosis certain

Presentation

The patient presented with blunt abdominal pain in the central abdomen, propagating into the lower abdomen. She noticed a small amount of blood in stool day before the exam.

Patient Data

Age: 75 years
Gender: Female

The whole descending colon has wall thickening with hazy surrounding fat tissue, indicative of colitis.

Horseshoe kidney.

Ultrasound examination revealed thickened, a hyperemic wall of descending colon, with reduced peristalsis.

Horseshoe kidney.

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