Ulcerative colitis - pseudopolyps 1
This is a 22-year-old white male currently suffering from an acute flare of his pancolitis, first diagnosed 5 years ago. Initially, there was fever, leukocytosis, elevated CRP (4 times normal values) and loose stools with mucus but little blood. At the time of endoscopy, the signs of inflammation have mostly resolved. The patient continues to have loose stools without blood or mucus.
The video shows a small segment of the sigmoid colon with complete transformation of the mucosa to a pseudopolypoid appearance. The lumen of the bowel appears to be narrowed. Between pseudopolyps are deposits of fibrin and pus.
Although the disease was only diagnosed 5 years ago, patients with pancolitis require careful histological examination in the form of stepped biopsies.