case_images: PMC10228216_01
case_images: CT showed diffuse colitis.
case_images: CRIGM2023-1769290.001.jpg
case_images: PMC10228216_01_CRIGM2023-1769290.001.jpg
case_images: fig1
case_images: C-reactive protein (CRP) level of 3.6 mg/dl. Computed tomography of the abdomen showed diffuse colitis (Figure 1).
case_images: Colonoscopy on presentation shows terminal ileum with aphthous ulcerations (a) and scattered ulcerations in the rectosigmoid (b, c).
case_images: CRIGM2023-1769290.002.jpg
case_images: PMC10228216_01_CRIGM2023-1769290.002.jpg
case_images: fig2
case_images: The ascending and transverse colon appeared normal, but bleeding ulcerations, exhibiting both fresh and clotted blood, were observed in the descending colon, sigmoid colon, and rectum (Figure 2).
case_images: (a) Crypt abscess (active colitis) in the cecal biopsy specimen. (b) Paneth cell metaplasia in rectal biopsy indicating the ongoing inflammatory process.
case_images: CRIGM2023-1769290.003.jpg
case_images: PMC10228216_01_CRIGM2023-1769290.003.jpg
case_images: fig3
case_images: Similarly, biopsies obtained from the large bowel and rectum showed evidence of mildly active chronic colitis, with no evidence of dysplasia (Figure 3).
case_images: Colonoscopy after 6 months shows normal ileum and colon.
case_images: CRIGM2023-1769290.004.jpg
case_images: PMC10228216_01_CRIGM2023-1769290.004.jpg
case_images: fig4
case_images: Six months later, follow-up colonoscopy showed no active inflammation (Figure 4), and the fecal calprotectin level was <5 mcg/g.