SHERP

A Case of Ulcerative Colitis with Macroscopic Rectal Sparing
대장 내시경상 직장이 보존된 궤양성 대장염 1례

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Authors
Nam, Taik-Seo; Kim, Chong-Min; Lee, Jong-Kyun; Jung, Hyun-Chae; Song, In-Sung; Choi, Kyoo-Wan; Kim, Chung-Yong
Issue Date
1990-06
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med 1990;31(2):141-147
Keywords
Ulcerative colitisRectal sparingColonoscopy
Abstract
A 35-year-old female patient, admitted with frequent mucoid bowel movements
and lower abdominal pain, was suspected of having ulcerative colitis. She did not
receive any treatment for ulcerative colitis prior to her admission. Despite the typical findings
of ulcerative colitis in the transverse and descending colons on double-contrast barium enema
and colonoscopy, the rectum was grossly normal. Such colonoscopic findings seemed to
exclude the diagnosis of ulcerative colitis. However, rectal biopsy showed typical histologic
changes of ulcerative colitis.
The purpose of this paper is to emphasize the importance of biopsy and histological
assessment of the rectal mucosa in suspected cases of ulcerative colitis, even if the rectal
mucosa is grossly normal on colono- or sigmoidoscopy.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/7313
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 31 No.2 (1990)
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