Presentation
Patient with chronic diarrhea.
Patient Data
Age: 35 years
Gender: Male
From the case:
Ulcerative colitis (barium enema)
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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.