A 55/male farmer was admitted with vague abdominal pain of 3 months duration with weight loss of 5 kg. He denied diarrhea, vomiting or fever. He had no known co-morbidities. Four months earlier he was admitted elsewhere and underwent hemicolectomy for perforative peritonitis , HPE for which was not collected since discharge from that center. Current evaluation showed diffuse wall thickening and enhancement of ileo-colic anastomosis and descending colon on CECT Abdomen (fig-1) and colonoscopic findings s/o Crohn’s disease(fig 2). A biopsy was taken from rectal ulcer which was suggestive of infective colitis (fig 3).
Figure 1: CECT abdomen, Figure 2: Colonoscopy findings, Figure 3: H&E stains of rectal ulcer
What is your diagnosis? View Answer