PMC5818971_01
Colonoscopy displaying circumferential, diffuse, edematous, erythematous, and friable mucosa with superficial ulcerations in the (a) colon and (b) terminal ileum.
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Colonoscopy showed circumferential, diffuse, edematous, erythematous, and friable mucosa with superficial ulcerations along the entire length of the colon and the terminal ileum (Figures 1(a) and 1(b)).
High-power view of chronic active ileocolitis with acute cryptitis, crypt abscess, and granulation tissue in the (a) colon and (b) terminal ileum.
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Pathology from the biopsies obtained during the colonoscopy was consistent with chronic active ileocolitis with acute cryptitis, crypt abscess, and granulation tissue (Figures 2(a) and 2(b)).
Coronal view from CT enterography demonstrating narrowing of the distal and terminal ileum as well as a short segment of narrowing in the mid ileum (arrow) with fecalization in the distal ileum.
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The patient also underwent a computed tomography enterography which demonstrated narrowing of the distal and terminal ileum as well as a short segment of narrowing in the mid ileum with fecalization in the distal ileum (Figure 3).
Axial view from CT abdomen exhibiting prominent ascending and transverse colitis with pneumatosis (arrow) of the distal small bowel, perforated abdominal viscus with moderate pneumoperitoneum and pneumomediastinum.
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A repeat computed tomography of the abdomen and pelvis showed prominent ascending and transverse colitis with pneumatosis of the distal small bowel, perforated abdominal viscus with moderate pneumoperitoneum and pneumomediastinum (Figure 4).