A Child with Ulcerative Colitis - A Case Report

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.

DOI: 10.3329/jbcps.v28i2.5372

J Bangladesh Coll Phys Surg 2010; 28: 117-120