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Pathology Quiz 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 -

 

       

Diagnosis

                                        

  Dart

 

 


 

 

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