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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:794-800 September 14, 2000 Number 11
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Case 28-2000— A 34-Year-Old Man with Ulcerative Colitis and a Large Perirectal Mass
Elizabeth M. Breen, and Joeseph Misdraji

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Presentation of Case

A 34-year-old man was admitted to the hospital because of ulcerative colitis with perirectal pain, swelling, and discharge.

The ulcerative colitis had initially been diagnosed 10 years earlier, in Puerto Rico. Thereafter, the patient often failed to take his medications as directed. Eight years before the current admission, after he had been well for an uncertain interval, he had bloody diarrhea and was admitted to this hospital for one week. Treatment with prednisone and sulfasalazine resulted in improvement in his symptoms. Two years before the current admission, he spent four weeks in this hospital because of severe pancolitis and was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Elizabeth M. Breen's Diagnoses

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References




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