odbytnica
Multiple Rectal Ulcers (69 of 110)
Another picture of the surgical specimen from the rectosigmoid juntion to the terminal ilium.
Multiple Rectal Ulcers (68 of 110)
The clinical severity of ulcerative colitis depends on both the length of colon involved and the severity of colonic inflammation. The symptomatic criteria most commonly used to define the severity...
Multiple Rectal Ulcers (67 of 110)
Pseudopolyps are seen here in a case of severe ulcerative colitis. The remaining mucosa has been ulcerated away and is hyperemic. A colonoscopic view of active ulcerative colitis, but not so eroded...
Multiple Rectal Ulcers (66 of 110)
Approach to the pseudopolyps and the extensive ulcers At higher magnification, the pseudopolyps can be seen clearly as raised red islands of inflamed mucosa. Between the pseudopolyps is only remaining...
Multiple Rectal Ulcers (65 of 110)
The opened resected specimen of the colon with dilatation and extensive ulcerations and pseudopolyposis. Inflammation with ulcerative colitis tends to be continuous along the mucosal surface and tends...
Multiple Rectal Ulcers (64 of 110)
Extensive ulcerative colitis (UC) with pseudopolyposis The severity of the inflammatory reaction seen correlates well with the clinical course of the disease. Most of the cardinal features of UC include:...
Multiple Rectal Ulcers (63 of 110)
The opened colon shows numerous enlarged or elongated polyps Ulcerative Colitis (UC) Generalized polyposis, generally considered to be an asymptomatic sequela of ulcerative colitis, can also be...
Multiple Rectal Ulcers (62 of 110)
Extensive Pseudopolyposis At section there were islands or pseudopolyps of mucosa, red dark, a lot with ulceration and perforation at the level of the transverse colon (sutures site) at the cecum...
Multiple Rectal Ulcers (60 of 110)
The treatment of ulcerative colitis in both the acute and chronic phases of the disease is rather difficult. There is uniform agreement that these patients should be treated medically as long as they...
Multiple Rectal Ulcers (59 of 110)
The ileocecal valve with a portion of terminal ileum that is not involved. Ulcerative colitis is confined to the large bowel although up to 30 cm of terminal ileum can be involved with “backwash ileitis”...
Multiple Rectal Ulcers (58 of 110)
The ileocecal valve has been opened, being observed some centimeters of the terminal ileum.
Multiple Rectal Ulcers (57 of 110)
The Cecum Rapid development of ulcerative colitis with pseudopolyposis in the ascending colon and cecum There are multiple ulcers and pseudopolyps that was not seen in the colonoscopy performed...
Multiple Rectal Ulcers (56 of 110)
We continue with the cut of the surgical piece The most widely used criteria for the clinical diagnosis of toxic megacolon are: Radiographic evidence of colonic distension PLUS at least three of the...
Multiple Rectal Ulcers (55 of 110)
The cut of the surgical piece begins. Surgical intervention with colectomy is indicated in patients who are intractable to medical therapy and for those with massive hemorrhage, colonic perforation,...