Suppurative granulomatous inflammation in the ileo-anal pouch

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Presentation transcript:

Suppurative granulomatous inflammation in the ileo-anal pouch Kenji So, Neil A. Shepherd, Trupti Mandalia, Tariq Ahmad Journal of Crohn's and Colitis Volume 7, Issue 5, Pages e186-e188 (June 2013) DOI: 10.1016/j.crohns.2012.07.007 Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 1 All granulomas in this case, as seen here, are specifically sited within lymphoid follicles/Peyer's patches. There is a notable absence of active inflammatory changes in the mucosa. Journal of Crohn's and Colitis 2013 7, e186-e188DOI: (10.1016/j.crohns.2012.07.007) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 2 Whilst small, ill-defined granulomas are not uncommon in the pouch mucosa, the granulomas that we encounter in this unique case are large and discrete with central suppuration. Journal of Crohn's and Colitis 2013 7, e186-e188DOI: (10.1016/j.crohns.2012.07.007) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions