Deep ulcers in Sigmoid Colon

A male aged 44 years Chief Complaints Bleeding P/R (on/off) (x 10 days) Pain lower abdomen while defecating (× 15 days) Physical Examination P/A - grossly normal Investigations Hb - 9 [Microcytic Hypochromic picture] Sigmoidoscopy done showed these ulcers throughout sigmoid

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?Ulcerative Colitis ?IBD ?Crohn Disease Do Biopsy

?ULCERATIVE COLITIS RULE OUT ?IBD & CHROHN DISEASE DO BIOPSY

Ulcerative colitis

D/D IBD ( ulcerative colitis) Rectal ulcer syndrome Kindly get colonoscopy for complete assesment of large bowel

THIS CASE LIKELY TO , CROHN'S DISEASE? REFER TO COLON & RECTAL SURGEON FOR BETTER DIAGNOSIS

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