PMC4320181_01
Total colonoscopy (TCS) revealed oval-shaped deep ulcers on the terminal ileum with deformity and destruction of the ileocecal valve.
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Fig1
Total colonoscopy (TCS) revealed oval-shaped deep ulcers on the terminal ileum with deformity and destruction of the ileocecal valve (Figure 1).
Gross findings from the resected specimen. (A and B) The ileocecal valve was highly deformed and destroyed by deep ulcers. (C) Large and small ulcers were diffusely-scattered on the ileal mucosa, from the ileocecal valve to 30 cm the oral side.
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Fig2
Furthermore, large and small ulcers were diffusely-scattered on the ileal mucosa, from the ileocecal valve to 30 cm on the oral side (Figure 2).
Pathological findings from the resected specimen. (A and B) There was nonspecific inflammation in the ulcers. There were no specific findings such as granulomas, CMV-infected cells, vasculitis or thrombus formation. (C) The mucosa around the ulcers remained relatively normal in structure. (Hematoxylin and eosin stain).
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Fig3
The mucosa around the ulcers remained relatively normal in structure (Figure 3).
Total colonoscopy revealed multiple deep and round ulcers developing on the anastomotic site, and multiple erosions and aphthae were observed on the oral side of the small and large intestine.
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Fig4
We also observed multiple erosions and aphthae on the oral side of the small intestine and large bowel from the ascending colon to the rectum (Figure 4).
Total colonoscopy shows significant improvement of the ulcers on the anastomosis site.
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Fig5
We identified ulcer scars at the anastomosis site and inflammation of the large intestine improved (Figure 5).