Presentation
Three weeks of bloody diarrhea.
Patient Data
Age: 30 years
Gender: Female
From the case:
Colitis - inflammatory bowel disease
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Impression of a featureless gas pattern within the transverse colon extending distally, as well as thumb printing pattern, indicating mucosal edema.
From the case:
Colitis - inflammatory bowel disease
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Red arrows indicate areas of thumbprinting.
From the case:
Colitis - inflammatory bowel disease
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Gross diffuse bowel wall thickening with mucosal hyperemia and a target type appearance to the colon extends from the rectum to the proximal ascending colon with relative sparing of the cecum. There is associated pericolic fat stranding and marked vascular engorgement of the omental and mesenteric vasculature.
Case Discussion
The patient proceeded to a subtotal colectomy.
Histology: Chronic inflammatory bowel disease of indeterminate type with marked activity; no dysplastic features seen.
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