SAGES Magazine

THE SOUTH AFRICAN GASTROENTEROLOGY REVIEW 2022 | VOLUME 20 | ISSUE 1 | 30 CASE REPORT Figure 2 Axial abdominal CT scan a b a. Colonic mucosal enhancement and mesenteric fat stranding/enhancement b. Rectal wall thickening and mucosal enhancement (red arrow); free fluid in the pelvis (green arrow) and benign right ovarian cyst (black arrow) Figure 3 Chest X-ray Bilateral interstitial reticular changes with a tented right hemidiaphragm and irregular outline of left hemidiaphragm and cardiac borders; all consistent with pulmonary fibrosis Figure 4 High-resolution CT scan of the chest (axial images) a b A. and b. Extensive fibrotic lung disease (with a basal predominance) and extensive para-septal emphysematous changes in keeping with usual interstitial pneumonitis (UIP). A pleural effusion was present on the right side. A flexible sigmoidoscopy revealed severe ulceration and pseudo-polyps in the left colon (continuous from the rectum) as shown in figure 5. Figure 5 a, b and c. Left colon endoscopic images showing severe chronic active inflammation with deep ulcers and pseudo-polyps. a