PMC3209998_01
(a) CT scan of the abdomen and pelvis with intravenous and oral contrast demonstrated a short segment of bowel involving the cecum with marked bowel wall thickening and normal appearing appendix. There was no free air, free fluid, or pelvic lymphadenopathy. (b) CT scan of the abdomen and pelvis with intravenous and oral contrast demonstrated a short segment of bowel involving the cecum with marked bowel wall thickening and normal appearing appendix. There was no free air, free fl uid, or pelvic lymphadenopathy
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F1
A computed tomography (CT) scan of the abdomen and pelvis with and without intravenous and oral contrast demonstrated a short segment of bowel involving the cecum with marked bowel wall thickening and normal appearing appendix [Figure 1].
Images of colonoscopy. At the level of the mid ascending colon, at about 65 cm, there are typical changes in the mucosa of edema, erythema, and superficial ulcerations. No significant bleeding
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F2
A colonoscopy revealed edematous mucosa, erythema, and superficial ulcerations without bleeding at the level of the mid ascending colon at about 65 cm from the anal verge [Figure 2].
Pathology: (a) slide 1. Essentially architecturally unremarkable colonic mucosa with acute inflammatory cells in the lamina propria, focal erosion, and fibrinopurulent exudation. Considerations include ischemic colitis. (b) Slide 2. Essentially architecturally unremarkable colonic mucosa with acute inflammatory cells in the lamina propria, focal erosion, and fibrinopurulent exudation. Considerations include ischemic colitis. (c) Slide 3. Essentially architecturally unremarkable colonic mucosa with acute inflammatory cells in the lamina propria, focal erosion, and fibrinopurulent exudation. Considerations include ischemic colitis. (d) Slide 4. Essentially architecturally unremarkable colonic mucosa with acute inflammatory cells in the lamina propria, focal erosion, and fibrinopurulent exudation. Considerations include ischemic colitis
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F3
Two superficial biopsies were taken which showed essentially architecturally unremarkable colonic mucosa with acute inflammatory cells in the lamina propria, focal erosion, and fibrinopurulent exudation with a differential diagnosis of IC versus pseudomembranous colitis [Figure 3].