PMC9975986_01
Computed Tomography (CT) showing mural thickening with peri-colic fat stranding (Red arrow) involving rectum (A) and sigmoid colon (B)
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FIG1
A computed tomography scan of the patient showed wall thickening involving the cecum to the rectum with vascular engorgement and surrounding peri-colic fat stranding (Figures 1A, 1B).
Colonoscopy suggestive of edematous, erythematous mucosa with complete loss of vascularity with multiple superficial and deep ulcerations which bleed on touch involving sigmoid colon and rectum (Mayo Grade 3 changes)
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FIG2
Histopathological examination showing basal plasmacytosis (A), cryptitis (B), and cryptic hyperplasia (C)
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FIG3
Histopathological examination of the biopsy specimen showed loss of mucin, mucosal ulcerations, basal plasmacytosis, dense mixed infiltrate with cryptitis, crypt abscesses, crypt distortion, and cryptic hyperplasia (Figures 3A-3C).