This is the case of a patient with long standing ulcerative colitis, male 37 year-old. UC is marked by diffuse, superficial inflammation of the colonic mucosa, beginning in the rectum and extending proximally to involve any contiguous length of colon. The small intestine is not involved, except in the setting of extensive colitis, in which the most distal terminal ileum may exhibit similar superficial inflammation, termed backwash ileitis. Because the extent of colitis usually remains constant from the onset, the length of involved colon defines the classification of UC: proctitis (limited to the rectum), proctosigmoiditis or left-sided colitis (extending up to the splenic flexure), or pancolitis (extending into the transverse colon)
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