Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 24: Ulcerative Colitis Presentingwith A Rectal Mass (continued)

Geoffrey Nguyen, MD, PhD

A 40-year-old white woman with a history of Turner’s syndrome was transferred to the hospital for management of rectal bleeding and a new diagnosis of ulcerative colitis. She had developed symptoms of bloating and increased liquid stool frequency (4 to 5 bowel movements (BM)/day) 10 months prior. About 2 months before admission, her stools became more frequent (10 to 15 BM/day) and were associated with hematochezia and tenesmus. Following a colonoscopy that showed ulcerated lesions confined to the rectum, she was diagnosed with ulcerative proctitis. Oral prednisone provided some…