Author/Authors :
HASSAN, T Dhaka Medical College and Hospital - Department of Paediatrics, Bangladesh , AFROZE, F DMCH - Department of Paediatrics, Bangladesh , MOLLAH, MAH DMCH - Department of Paediatrics, Bangladesh , SAHA, N DMCH - Department of Paediatrics, Bangldesh , PARVEEN, R DMCH - Department of Paediatrics, Bangldesh , RAHMAN, A DMCH - Department of Paediatrics, Bangladesh , PARVEEN, S DMCH - Department of Paediatrics, Bangladesh
Abstract :
Ulcerative colitis in children has not been reported previously in Bangladesh. This case report is of a 7 year old girl who presented with frequent passage of slimy stool mixed with blood for 4 months. She also had fever, weight loss, abdominal pain and urgency at defecation. Barium enema showed pancolitis with multiple pseudopolyps and collar button appearance. Colonoscopy revealed a friable and granular mucosa with diffuse ulceration and multiple pseudopolyps. There was bloody exudate and the lumen was narrow. Histopathology findings showed necrosed tissue probably representing a base of ulcer and inflammatory cell infiltrate in the lamina propria. The crypt architecture was distorted with cryptitis and goblet cell depletion. There was no granuloma. She was diagnosed as a case of ulcerative colitis treated with Sulfasalazine and oral corticosteroid. Her response to treatment was very well and now she is on regular follow up.
