case_images: PMC11408919_01
case_images: Colonoscopic findings of the case in May 2022. (a) There are no visible lesions in the terminal ileum. (b) Multiple round ulcers are present in the transverse colon. (c) Longitudinal ulcers with a cobblestone appearance are present in the descending colon. (d) A perianal abscess is present in the rectum.
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case_images: There were no visible lesions in the terminal ileum (Figure 1).
case_images: Colonoscopic findings, of the case in October 2022. Continuous, diffuse, and granular mucosal lesions are present throughout the entire colon, starting from the rectum. (a) Transverse colon. (b) Rectum.
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case_images: Based on the colonoscopic findings, we made a tentative diagnosis of CD and started intravenous infliximab, plus 3000 mg per day of 5-aminosalicylic acid (ASA), and azathioprine (Figure 2).
case_images: Clinical course of the case. 5-ASA, 5-aminosalicylic acid; CRP, C-reactive protein.
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case_images: There was now diffusely granular and friable mucosa with loss of vascularity throughout the entire large bowel, including the rectum (Figure 3).