A 45-year-old man with type 2 diabetes presented to the outpatient department of a hospital with complaints of weight loss, chronic abdominal pain, and bloody diarrhea. Colonoscopy Patchy erythema and multiple ulcers in the transverse and descending colon, caecum, and terminal ileum ( Figure 1 ). Biopsy showed inflammation of the intestinal crypt cells and ulcers in the same regions. Moderate inflammation, along with eosinophilic infiltration, was observed in the lamina propria. Figure 1. Colonoscopy images of the A.
Terminal ileum; B. Caecum; C. Transverse colon; and D. Descending colon. (Image source: Saqib SU., et al.) The patient was initially prescribed steroids but was again admitted to the emergency department a few months later with progressively worsening abdominal pain and 30 kg weight loss. Hematological findings Abdominal IV-contrast CT revealed cecum and ileal…
