case_images: PMC11726622_01
case_images: Colonoscopy and histology of the biopsy. (A) Colonoscopic view showing mild fine nodularity (arrows) of the distal terminal ileum. (B) Colonoscopic view showing fine granularity, corkscrew vasculature, and mild erythema. (C) Diffuse chronic active colitis. (D) Rare histiocytic non-caseating granulomata in the ascending colon biopsy (arrow)
case_images: cureus-0017-00000077363-i01.jpg
case_images: PMC11726622_01_cureus-0017-00000077363-i01.jpg
case_images: FIG1
case_images: In December 2011, due to ongoing GI symptoms and intermittent fever, he underwent ileocolonoscopy, which revealed fine nodularity of the distal terminal ileum and mild pancolitis (Figure 1A and Figure 1B). Multiple biopsies confirmed mild active ileitis and diffuse chronic active pancolitis (the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum) with non-caseating granulomas (Figure 1C and Figure 1D).