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Patient I: 30 M with 1st episode of bloody diarrhea Proctosigmoidoscopy: ulcerative colitis 10motions

Patient II: 36F with a 4-year history of recurrent bloody diarrheaUC diagnosed on colonoscopy and biopsy: pancolitisPresent episode:15 stools/day with blood, cramps Poor response to medical therapySurgical referral (day 8): s.alb1.8, K 2.0, pedal edema Procedure: total colectomy ileostom

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Patient I: 30 M with 1st episode of bloody diarrhea Proctosigmoidoscopy: ulcerative colitis 10motions

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    1. Patient I: 30 M with 1st episode of bloody diarrhea Proctosigmoidoscopy: ulcerative colitis > 10motions/day - partial response to medical management Surgical opinion - day 5 Refused surgery - ostomy unacceptable Symptoms worsened - operated day 10 Findings: caecal perforation with localized abscess Procedure: total colectomy + ileostomy + mucus fistula Turbulent post operative period; at present, has completed 3 stages and is well

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