case_images: PMC8559634_01
case_images: Abdominopelvic computed topography. The yellow arrows indicate ascites and the blue arrow shows the thickening wall of the descending colon compatible with colitis
case_images: cjim-12-482-g001.jpg
case_images: PMC8559634_01_cjim-12-482-g001.jpg
case_images: F1
case_images: Abdominopelvic computed tomography showed no signs of perforation or obstruction but there was prominent thickening of colonic wall from splenic flexure to rectum- compatible with colitis and evidence of ascites and bilateral pleural effusion (figure 1 and 2).
case_images: Spiral chest and abdominopelvic computed topography. The red arrows indicate mild bilateral pleural effusion, the yellow arrow shows the ascites in the Douglas pouch and the blue arrows point to the thickening wall of sigmoid and parts of the descending colon
case_images: cjim-12-482-g002.jpg
case_images: PMC8559634_01_cjim-12-482-g002.jpg
case_images: F2
case_images: Abdominopelvic computed tomography showed no signs of perforation or obstruction but there was prominent thickening of colonic wall from splenic flexure to rectum- compatible with colitis and evidence of ascites and bilateral pleural effusion (figure 1 and 2).
case_images: Peripheral Blood Smear shows abundant number of burr cells, thrombocytopenia, target cells and prominent number of schistocytes and fragmented RBCs
case_images: cjim-12-482-g003.jpg
case_images: PMC8559634_01_cjim-12-482-g003.jpg
case_images: F3
case_images: Laboratory data showed the evidence of microangiopathic hemolytic anemia (MAHA) with considerable schistocytes (figure 3) and thrombocytopenia.