PMC7348591_01
Clinical presentation of the patient. (A) Endoscopy showed ulcers and stricture in the ascending colon in August 2010 (a), and relapsing ulceration of intestinal anastomosis and stricture in transverse colon 8 years after right hemicolectomy (b). (B) Pathological examination showed intestinal transmural inflammation with an increased number of inflammatory cells infiltration, loss of crypt and hyperplasia of fibrous tissue. (C) CT enterographic (CTE) image demonstrated thickening of the wall and stricture in the colon-hepatic curvature and the proximal transverse colon (arrow). (D) Magnetic resonance angiography (MRA) showed multiple arteritis stenosis in upper and lower limbs (white arrows).
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F1
Recurrent ascending colonic ulcers and anastomotic ulcers along with intestinal obstruction were observed prior to and for 8 years after right hemicolectomy surgery (Figures 1A-C), accompanied by vasculitis in extremities (Figure 1D).