ulcers
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Multiple Rectal Ulcers (91 of 110)
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...
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Multiple Rectal Ulcers (99 of 110)
This image as well as the video clip was taken by the pathologist
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Multiple Rectal Ulcers (102 of 110)
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....
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Multiple Rectal Ulcers (103 of 110)
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...
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Multiple Rectal Ulcers (27 of 110)
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...
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Multiple Rectal Ulcers (28 of 110)
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...
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Multiple Rectal Ulcers (29 of 110)
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...
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Multiple Rectal Ulcers (30 of 110)
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...
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Multiple Rectal Ulcers (31 of 110)
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.
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Multiple Rectal Ulcers (32 of 110)
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...
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Multiple Rectal Ulcers (33 of 110)
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...
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Multiple Rectal Ulcers (34 of 110)
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...
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Multiple Rectal Ulcers (35 of 110)
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...
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Multiple Rectal Ulcers (36 of 110)
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,...
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Multiple Rectal Ulcers (37 of 110)
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...
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Multiple Rectal Ulcers (38 of 110)
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...
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Multiple Rectal Ulcers (39 of 110)
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...
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Multiple Rectal Ulcers (40 of 110)
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....
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Multiple Rectal Ulcers (41 of 110)
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...
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Multiple Rectal Ulcers (43 of 110)
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...
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Multiple Rectal Ulcers (51 of 110)
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...
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Multiple Rectal Ulcers (52 of 110)
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...
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Multiple Rectal Ulcers (53 of 110)
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...
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Multiple Rectal Ulcers (71 of 110)
Photographic Gallery Macroscopic appearance of the resected colon The following pictures can be enlarge by clicking on them
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Multiple Rectal Ulcers (72 of 110)
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...
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Multiple Rectal Ulcers (73 of 110)
This picture shows the surgical incision of the recto-sigmoid junction.
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Multiple Rectal Ulcers (74 of 110)
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.
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Multiple Rectal Ulcers (75 of 110)
Macroscopic Description The distribution, extent, and nature of macroscopic changes in inflammatory bowel disease are frequently important diagnostic features. The following guidelines primarily...
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Multiple Rectal Ulcers (76 of 110)
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...
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