Inflammatory Bowel Disease · Pathology

A 24-year-old female presents with bloody diarrhea and tenesmus. Colonoscopy reveals diffuse mucosal inflammation that is most severe in the rectum. Which histological feature is most likely to be seen?

  1. Transmural inflammation
  2. Non-caseating granulomas
  3. Crypt abscesses with neutrophilic infiltration
  4. Fissuring ulcers and knife-like clefts
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Correct answer: Crypt abscesses with neutrophilic infiltration

Ulcerative Colitis primarily affects the mucosa and submucosa, commonly presenting with crypt abscesses where neutrophils collect in the lumens of the colonic crypts. Rectal involvement is nearly universal in Ulcerative Colitis.

Difficulty: Medium Question 2 of 20

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