(Regional Enteritis, Granulomatous Colitis). This sequence display severe endoscopic lesions. A 42 year-old Salvadorian woman, that has been living in The United States of America for more than 20 years. The patient presented with weigh loss of 22 pounds, abdominal pain and diarrhea during two years. This lesions display ulcerations and retraction of the sigmoid mucosa. Causing some difficulties when advancing with the endoscope forward. After some maneuvers the stenosis was overcome. A second colonoscopy was performed shortly after some treatment. In that colonoscopy we were able to find that the terminal ileum was affected.
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