Case 44-1973

Presentation of CaseA 28-year-old woman was admitted to the hospital because of a question of liver disease.She was well until four years before admission, when abdominal cramps and diarrhea developed and subsided when ampicillin was given after four weeks of symptoms. One month later diarrhea recurred, and she was admitted to another hospital, where sigmoidoscopic examination revealed that the mucosa had a diffusely granular, erythematous, edematous, friable appearance, with scattered small ulcerations. A barium-enema examination showed absence of the haustral markings throughout the colon; the mucosal detail was obscured by retained fecal material, but no definite ulcerations were . . .