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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/04/2020 SRU RESIDENT TEACHING CASE High-Resolution Ultrasound Characterization of Colonic Lymphoid Hyperplasia in a Case of Active Crohn Colitis Raymond Lawlor, MD, Phyllis Glanc, MD, FRCPC, Eva Szentgyorgyi, MD, FRCPC, and Korosh Khalili, MD, FRCPC Histopathology results from mucosal biopsy specimens CLINICAL HISTORY revealed typical findings of Crohn colitis (Fig. 5) including An 18-year-old healthy man presented to the emergency active colonic inflammation and mucosal erosions. Prominent room with a 1-day history of diffuse abdominal pain, fever, lymphoid aggregates typical of active Crohn colitis were vomiting, and nonbloody diarrhea. Medical history was sig- noted, confirming the US finding. Collectively, the sono- nificant for a 1-month history of intermittent bloody stools. graphic, histopathologic, and laboratory findings were felt to The week before presentation, he had been evaluated with be consistent with Crohn colitis. Microbiologic laboratory lower endoscopy, which had revealed 2 areas of abnormal samples were negative for infectious pathogens. Medical ther- mucosa, focally in the distal transverse colon (Fig. 1A) and apy was initiated with good effect, and the patient has over a length of approximately 10 cm of sigmoid colon remained in sustained disease remission. (Fig. 1B). These were felt to have
Ultrasound quarterly – Wolters Kluwer Health
Published: Sep 1, 2015
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