Colitis

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Micrograph showing cryptitis - the histologic finding of an acute colitis. H&E stain.

Colitis, plural colitides, is an inflammatory process that involves the colon.

Proctitis and cecitis redirect to this article, as the mucosa of the rectum and cecum are very similar to that of the colon.

Type of colitis

Infectious:

Idiopathic:

Iatrogenic:

Ischemic:

Miscellaneous:

Grading colitis

"A grading scheme":†

Histologic finding Grade
Mild cryptitis
Moderate crypt abscesses
Severe erosions

† Adapted from Kirsch.[1]

Images

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Rectum, Biopsy:
     - Mild active proctitis with minimal architectural changes.
     - NEGATIVE for dysplasia.

Comment:
The biopsy is NEGATIVE for granulomas. The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, or therapy/drugs.  Clinical correlation is required.

Alternate comment

The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, inflammation secondary to diverticular disease or therapy/drugs. Clinical correlation is required.

See also

References

  1. Kirsch, R. 13 December 2010.