Recognizing that some innocuous processes mimic IBD

Crypt architectural distortion and chronic inflammation suggest IBD; however, close examination shows vascular and smooth muscle proliferation in the lamina propria.

Crypt architectural distortion and chronic inflammation suggest IBD; however, close examination shows vascular and smooth muscle proliferation in the lamina propria.

 

  • 74-year-old woman presented with diarrhea
  • Colonoscopy revealed rectal erythema and mucosal granularity
  • Rule out proctitis

 

 

 

 

Our Diagnosis

  • Benign anorectal mucosa with evidence of trauma/prolapse

The Miraca Difference

  • Findings suggestive of IBD; however, case reviewed at daily conference and determined to represent only trauma/prolapse changes; patient was not labeled with chronic colitis/proctitis
  • Inappropriate treatment with immunosuppressive agents was avoided