PMC5664230_01
(a), (b), and (c) represent two stenosed ulcerative colon segments, and (d) represents pseudotumor in a stenosed colon segment at the index colonoscopy.
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CD4 count was 212/mm3. Colonoscopy showed two stenosed ulcerated short segments in transverse colon with active oozing (requiring epinephrine injection therapy) and normal looking mucosa in between the lesions (Figures 1()-1()). Another stenosed segment with mass-like appearance was also noted in the transverse colon giving the macroscopic appearance of a mass (Figure 1(d)).
Stenosed colon segment with minimal erythema at second colonoscopy.
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Repeat colonoscopy revealed healing stenosed segments at the same location with minimal erythema (Figures 2()-2()) with the overall impression being of improving colitis.
Stenosed colon segment with isolated healing erosion at 3-month colonoscopy.
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A 3-month follow-up colonoscopy showed continued healing at the stenosis site and absence of pseudotumor (Figure 3()).