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Multiple Rectal Ulcers (91 of 110)
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Multiple Rectal Ulcers (91 of 110)

Gastroenterology Atlas

Although pseudopolyps are the commonest sequelae of ulcerative colitis, the occurrence of localized exuberant collections of pseudopolyps, giving rise to large intraluminal masses, is a rare finding...

views: 688 comments: 0

Multiple Rectal Ulcers (99 of 110)
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Multiple Rectal Ulcers (99 of 110)

Gastroenterology Atlas

This image as well as the video clip was taken by the pathologist

views: 549 comments: 0

Multiple Rectal Ulcers (102 of 110)
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Multiple Rectal Ulcers (102 of 110)

Gastroenterology Atlas

There are severe inflammatory process with extensive ulcerations leaving islands or pseudopolyps of mucosa with of granulacion tissue. there are extensive areas of hiperemic and hemorragic tissue....

views: 472 comments: 0

Multiple Rectal Ulcers (103 of 110)
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Multiple Rectal Ulcers (103 of 110)

Gastroenterology Atlas

The inflamatory process goes deep into the own muscle and pericolic adiposse tissue with perforacion at the level of the transverse colon. the cecal appendix has chronic inflamation similar to the...

views: 468 comments: 0

Extensive Acanthosis Nigricans due to rectal carcinoma (1 of 7)
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Extensive Acanthosis Nigricans due to rectal...

Gastroenterology Atlas

A very extensive Acanthosis Nigricans, with adenocarcinoma of the rectum. A 73-year-old woman, that noticed a darkness of her face during a period of one year and a half. Rectal bleeding started...

views: 5433 comments: 0

Extensive Acanthosis Nigricans due to rectal carcinoma (3 of 7)
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Extensive Acanthosis Nigricans due to rectal...

Gastroenterology Atlas

Suspicion for malignancy-associated acantosis nigricans should arise when it occurs when resent onset in a non-obese patient who does not have diabetes. Acanthosis nigricans presents as a smooth,...

views: 1316 comments: 0

Extensive Acanthosis Nigricans due to rectal carcinoma (4 of 7)
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Extensive Acanthosis Nigricans due to rectal...

Gastroenterology Atlas

There is no satisfactory dermatological or cosmetic treatment for acanthosis nigricans, and biopsy of the skin is neither helpful. The pigmented areas are reversible only when the tumor is removed....

views: 4458 comments: 0

Extensive Acanthosis Nigricans due to rectal carcinoma (5 of 7)
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Extensive Acanthosis Nigricans due to rectal...

Gastroenterology Atlas

Suspicion for malignancy-associated acantosis nigricans should arise when it occurs when resent onset in a non-obese patient who does not have diabetes. The malignant disease appears concomitantly...

views: 3399 comments: 0

Extensive Acanthosis Nigricans due to rectal carcinoma (6 of 7)
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Extensive Acanthosis Nigricans due to rectal...

Gastroenterology Atlas

Lateral view of her body. Hyperpigmentation of some areas are seen.

views: 4034 comments: 0

Multiple Rectal Ulcers (27 of 110)
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Multiple Rectal Ulcers (27 of 110)

Gastroenterology Atlas

The histological features of ulcerative colitis parallel the endoscopic appearance of a diffuse, continuous pattern of superficial inflammation within the involved mucosal segments and normal proximal...

views: 472 comments: 0

Multiple Rectal Ulcers (28 of 110)
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Multiple Rectal Ulcers (28 of 110)

Gastroenterology Atlas

Endoscopic biopsies are crucial in the initial evaluation of ulcerative colitis, to accurately exclude self-limited colitis, and to differentiate ulcerative colitis from Crohn's disease. Histologic...

views: 470 comments: 0

Multiple Rectal Ulcers (29 of 110)
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Multiple Rectal Ulcers (29 of 110)

Gastroenterology Atlas

A primary distinction between chronic inflammatory bowel disease such as ulcerative colitis and acute self-limited (infectious) colitis is architectural distortion. In ulcerative colitis, the normal...

views: 550 comments: 0

Multiple Rectal Ulcers (30 of 110)
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Multiple Rectal Ulcers (30 of 110)

Gastroenterology Atlas

Our patient presents edema of lower extremities clinical sign which be considered in all patient with ulcerative colitis as a serious stage. (Severe ulcerative colitis) Our patient presents Edema...

views: 626 comments: 0

Multiple Rectal Ulcers (31 of 110)
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Multiple Rectal Ulcers (31 of 110)

Gastroenterology Atlas

Pitting Edema Severe ulcerative colitis: hypoalbuminemia resulting from low protein intake (anorexia) and increased chronic loss of albumin are hallmarks of this form of the disease.

views: 549 comments: 0

Multiple Rectal Ulcers (32 of 110)
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Multiple Rectal Ulcers (32 of 110)

Gastroenterology Atlas

Computed Tomography Scout View Panoramic view in the first hospitalization that was taken in the second day which is observed clearly marked that the walls of the colon are thick. In the first abdominal...

views: 465 comments: 0

Multiple Rectal Ulcers (33 of 110)
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Multiple Rectal Ulcers (33 of 110)

Gastroenterology Atlas

Computed Tomography Scout View Computed tomography scout view is a mode of operating a CT system. It is generally used to prescribe CT slices and to display slice locations rather than for direct...

views: 450 comments: 0

Multiple Rectal Ulcers (34 of 110)
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Multiple Rectal Ulcers (34 of 110)

Gastroenterology Atlas

Second Hospitalization After 10 days of ambulatory treatment and 18 after the colonoscopy, the patient is readmitted to the hospital because of increased abdominal pain and sepsis. WB counts: 21,900...

views: 564 comments: 0

Multiple Rectal Ulcers (35 of 110)
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Multiple Rectal Ulcers (35 of 110)

Gastroenterology Atlas

Cyanosis Distal The patient's clinical condition deteriorated over the next 18 hours despite steroid and antibiotic therapy, and the patient had to undergo total colectomy and ileostomy. The diagnosis...

views: 506 comments: 0

Multiple Rectal Ulcers (36 of 110)
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Multiple Rectal Ulcers (36 of 110)

Gastroenterology Atlas

Plain Abdominal Rx DIAGNOSIS — The diagnosis of toxic megacolon should be considered in all patients presenting with abdominal distension and acute or chronic diarrhea. The diagnosis is clinical,...

views: 474 comments: 0

Multiple Rectal Ulcers (37 of 110)
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Multiple Rectal Ulcers (37 of 110)

Gastroenterology Atlas

Toxic megacolon is defined as a severe episode of colitis with segmental or total dilatation of the colon. It is typically a complication of ulcerative colitis, but it may be a complication of Crohn...

views: 547 comments: 0

Multiple Rectal Ulcers (38 of 110)
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Multiple Rectal Ulcers (38 of 110)

Gastroenterology Atlas

Computed Tomography Scout View in the second day of the second hospitalization Toxic megacolon is a potentially lethal complication of inflammatory bowel disease (IBD) or infectious colitis that is...

views: 479 comments: 0

Multiple Rectal Ulcers (39 of 110)
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Multiple Rectal Ulcers (39 of 110)

Gastroenterology Atlas

CT is valuable for the detection and characterization of ulcerative colitis. CT typically demonstrates circumferential, symmetrical wall thickening with fold enlargement. Thickening of the colon wall...

views: 478 comments: 0

Multiple Rectal Ulcers (40 of 110)
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Multiple Rectal Ulcers (40 of 110)

Gastroenterology Atlas

Patients with toxic megacolon often present in the emergency department as having abdominal distention superimposed on chronic or acute diarrhea. The diagnosis should be considered in all such patients....

views: 457 comments: 0

Multiple Rectal Ulcers (41 of 110)
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Multiple Rectal Ulcers (41 of 110)

Gastroenterology Atlas

Bowel thickening is a nonspecific finding; it may be encountered in a variety of colitides and other pathologies of the bowel wall. The target sign is also nonspecific; it has been reported in Crohn...

views: 475 comments: 0

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

Gastroenterology Atlas

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...

views: 437 comments: 0

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

Gastroenterology Atlas

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...

views: 673 comments: 0

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

Gastroenterology Atlas

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...

views: 516 comments: 0

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

Gastroenterology Atlas

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...

views: 462 comments: 0

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

Gastroenterology Atlas

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

views: 459 comments: 0

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

Gastroenterology Atlas

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...

views: 447 comments: 0