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Multiple Rectal Ulcers (43 of 110)
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Multiple Rectal Ulcers (43 of 110)

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Toxic megacolon is the most severe manifestation of ulcerative colitis, diagnosed when the inflammation extends from the superficial mucosa into the submucosal and muscular layers of the colon. Toxic...

Multiple Rectal Ulcers (44 of 110)
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Multiple Rectal Ulcers (44 of 110)

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Video Endoscopic Sequence

Multiple Rectal Ulcers (45 of 110)
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Multiple Rectal Ulcers (45 of 110)

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Video Endoscopic Sequence

Multiple Rectal Ulcers (46of 110)
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Multiple Rectal Ulcers (46of 110)

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Video Endoscopic Sequence

Multiple Rectal Ulcers (51 of 110)
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Multiple Rectal Ulcers (51 of 110)

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Emergency surgery involves total colectomy and end ileostomy as a life-saving procedure. Patients presenting with severe acute colitis for their first attack are the most likely to require colectomy...

Multiple Rectal Ulcers (52 of 110)
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Multiple Rectal Ulcers (52 of 110)

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Ileostomy Both fulminant colitis and toxic megacolon are regarded as the sequelae of colitis in which irreversible changes in the whole thickness of colonic wall have occurred. These condition both...

Multiple Rectal Ulcers (53 of 110)
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Multiple Rectal Ulcers (53 of 110)

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The improvement in surgical technique, but first of all widespread of stapling devices, have shortened the time of operation and simplified the procedure, so that creation of an ileal reservoir is...

Multiple Rectal Ulcers (71 of 110)
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Multiple Rectal Ulcers (71 of 110)

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Photographic Gallery Macroscopic appearance of the resected colon The following pictures can be enlarge by clicking on them

Multiple Rectal Ulcers (72 of 110)
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Multiple Rectal Ulcers (72 of 110)

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Colectomy Specimen The cecal appendix average 7x0.5 cm with hyperemia, the lumen was reduced. The ileon were 16 cm. long and 2 cm. in diameter. The mucosae shows edema and erosions. Ileocecal ganglia...

Multiple Rectal Ulcers (73 of 110)
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Multiple Rectal Ulcers (73 of 110)

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This picture shows the surgical incision of the recto-sigmoid junction.

Multiple Rectal Ulcers (74 of 110)
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Multiple Rectal Ulcers (74 of 110)

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Colectomy Specimen Gross examination of the large intestine in non-neoplastic conditions can also yield valuable diagnostic information, particularly in the classification of inflammatory bowe disease.

Multiple Rectal Ulcers (75 of 110)
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Multiple Rectal Ulcers (75 of 110)

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Macroscopic Description The distribution, extent, and nature of macroscopic changes in inflammatory bowel disease are frequently important diagnostic features. The following guidelines primarily...

Multiple Rectal Ulcers (76 of 110)
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Multiple Rectal Ulcers (76 of 110)

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This pictute shows the site of perforation Thorough macroscopic descriptions have a tendency to become lengthy, and specimen photography can prove extremely useful in this situation, providing an...

Multiple Rectal Ulcers (77 of 110)
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Multiple Rectal Ulcers (77 of 110)

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Again the site of perforation

Multiple Rectal Ulcers (78 of 110)
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Multiple Rectal Ulcers (78 of 110)

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The silk suturing where is the site of perforation

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