Ulcerative colitis is one of the two major types of inflammatory bowel disease, along with Crohn’s disease. Journal of Gastroenterology and Hepatology Research 2020 9(2): 3146-3149 Available from: URL: Ulcerative Colitis in A Nigerian - A Case Report. Oguntoye OO, Yusuf M, Olowoyo P, Erinomo O, Omoseebi O, Soje MO, Oguntoye OA, Fatudimu O. Although ulcerative colitis is uncommon among Nigerians, a high index of suspicion with colonoscopy work-up will help to make the diagnosis. He presented at our clinic three months later with complete resolution of all the symptoms and was scheduled for regular clinic follow-up. He was commenced on long-term Amino-salicylate(Mesalamine), antioxidants and a short course of antibiotics (Ofloxacin and Metronidazole). Upper GI Endoscopy revealed essentially normal findings. Histologic sections show features consistent with Ulcerative Colitis. Endoscopic features indicate Extensive Ulcerative Colitis (Proctitis with Pancolitis). No diverticula, no polyps or masses seen. Colonoscopy revealed circumferential mucosa inflammation with multiple areas of erosion and presence of numerous mucosal debris extending from the rectum to involve the sigmoid colon, descending colon, transverse colon and the ascending colon. Provisional diagnosis was suspected Ulcerative colitis to rule out Crohn’s disease and to rule out Colorectal cancer. On digital rectal examination however, the examining finger was stained with maroon-colored blood, no rectal mass was felt. He does not take alcohol nor smoke cigarette. No family history of inflammatory bowel disease or colorectal cancer. There is weight loss despite intact appetite. There is associated tenesmus, low grade fever and abdominal pain during each episode. He has been passing watery, mucoid and bloody stool of about 3 to 5 bowel motions per day with each episode lasting for about three to six weeks following which there will be remission that lasts for about 1 to 2months. We present a 37year old male Nigerian who presented with recurrent passage of bloody stool of seven years duration. Ulcerative colitis is a rare condition among Nigerians. Email: Telephone: +2348086638538 Received: FebruRevised: ApAccepted: ApPublished online: April 21, 2020 MBBS (Ibadan), FWACP(Gastroenterol), Lecturer 1 and Consultant Physician / Gastroenterologist and Hepatologist, Department of Internal Medicine, Federal Teaching Hospital Ido-Ekiti and Afe Babalola University Ado-Ekiti, Ekiti State, Nigeria. See: http: ///licenses/by-nc/4.0/ Correspondence to: Oguntoye Oluwatosin Oluwagbenga. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. Oguntoye Oluwatosin Oluwagbenga1, Yusuf Musah1, Olowoyo Paul1, Erinomo Olagoke2, Omoseebi Oladipo2, Soje Michael Osisiogu1, Oguntoye Oluwafunmilayo Adenike3, Fatudimu Oluwafemi4ġ Department of Internal Medicine, Federal Teaching Hospital Ido-Ekiti and Afe Babalola University Ado-Ekiti, Nigeria Ģ Department of Morbid Anatomy, Federal Teaching Hospital Ido-Ekiti and Afe Babalola University Ado-Ekiti, Nigeria ģ Department of Internal Medicine, Federal Teaching Hospital Ido-Ekiti, Nigeria Ĥ Department of Surgery, Federal Teaching Hospital Ido-Ekiti and Afe Babalola University Ado-Ekiti, Nigeria.Ĭonflict-of-interest statement: The author(s) declare(s) that there is no conflict of interest regarding the publication of this paper. Ulcerative Colitis in A Nigerian – A Case Report
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |