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Ileal resection with fissuring ulcers, mural thickening and subserosal lymphoid aggregates. No  granulomas present.

Ileal resection with fissuring ulcers, mural thickening and subserosal lymphoid aggregates. No granulomas present.

 

  • 42-year-old woman with persistent GI bleeding and negative upper endoscopy
  • Colonoscopy showed several centimeters of edematous terminal ileumwith no areas of ulceration identified
  • Resection of the terminal ileumand right colon

 

 

Outside Diagnosis

  • Active Ileitis with Ulceration, Hemorrhage and Granulation Tissue
    • Comment refers to the possibilities of ischemia, infection, drug-induced ileitis and Crohn’s disease
  • Gastroenterologist asks Miraca Life Sciences for consultation due to confusion on how to treat and further evaluate

Our Diagnosis

  • Active Ileitis with Fissuring Ulcers and Transmural Inflammation, most consistent with Crohn’s Disease
  • Clinician notified that the patient has Crohn’s disease, not infection or ischemia

The Miraca Life Sciences Difference

  • Specific diagnosis rendered
  • No additional diagnostic work-up for ischemia is necessary
  • Allows for immediate and effective therapy
  • No concern about giving immunosuppressive therapy to a patient with an infectious process

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— Martha J. Maso, MD, MPH,
Dermatologist, Westwood Dermatology Group, Westwood, N.J.


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