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Images in Clinical Medicine
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Volume 349:358 July 24, 2003 Number 4
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Chronic Ulcerative Colitis with Megacolon

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A 53-year-old woman with a history of ulcerative colitis presented with abdominal pain and bloody diarrhea. The abdominal examination revealed a distended and mildly tender abdomen with hypoactive bowel sounds. Plain films of the abdomen showed two characteristic features of ulcerative colitis — megacolon, with the transverse colon (normal diameter up to 6 cm) dilated to the height of 2.5 vertebrae (vertical arrows), and burned-out chronic colitis, with the left side of the colon showing foreshortening and a loss of haustra (arrowheads). The patient also had a Greenfield filter in place (horizontal arrow), since patients with inflammatory bowel disease are . . . [Full Text of this Article]

 



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