Proctitis with caecitis: an atypical presentation of ulcerative colitis.

Abstract:

:Ulcerative colitis is characterized as an inflammatory process of the distal colonic mucosa, which may extend proximally. Its proximal extension is classically as a continuous lesion. We describe six patients presenting with typical ulcerative proctiits, who were also found to have an inflammatory area in the caecum, while the remaining colon was macroscopically and histologically normal. With no features to support a diagnosis of Crohn's disease, we believe these cases challenge the classic teaching that ulcerative colitis is a continuous disease. Performing total colonoscopy in patients who seem to have solely distal colitis will permit recognition of this distribution of inflammation.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Hill MD,Davies G,McIntyre AS,Gorard DA

doi

10.1055/s-2002-33239

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

664-6

issue

8

eissn

0013-726X

issn

1438-8812

journal_volume

34

pub_type

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