Path Case39

Pathology Quiz Online

December 2004 Case - 39

Dr Sampurna Roy MD

Clinical History: A 65 year old female was admitted to the hospital with a two week history of diarrhea,

vomiting and low grade fever.

Past medical history: Patient had a long standing history of upper respiratory tract infection.

She was admitted to the hospital several times during which she was treated with cephalosporin.

Investigation: Plain x-ray of the abdomen revealed slight thickening of the bowel wall in the

left upper quadrant.

Laboratory tests: Stool - Faecal occult blood test was positive. Moderate numbers of faecal

neutrophils were present. Blood - Leukocytosis with raised neutrophil count.

Serum albumin level was very low. Urine - Positive for protein. Sediments contained some neutrophils

and red blood cells.

Endoscopy : Revealed scattered well demarcated yellowish mucosal plaque-like lesions from rectum to

splenic flexure.

Rectal biopsy for diagnosis -