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An unusual complication of colitis
  1. T Zimbwa,
  2. R Owen,
  3. G Thomas,
  4. R Hargest,
  5. G T Williams
  1. University Hospital of Wales, Heath Park, Cardiff, UK
  1. Correspondence to Dr Truman Zimbwa, University Hospital of Wales, Heath Park, Cardiff CF 4 4XW, UK; trmnzimbwa{at}aol.com

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Clinical presentation

An 18-year-old man with a 13 month history of ulcerative coltis (UC) was admitted with a progressive history of worsening left-sided abdominal pain, diarrhoea, rectal bleeding and weight loss. UC had been diagnosed on flexible sigmiodoscopy and biopsies, which confirmed moderately active colitis to the point of insertion (distal descending colon). Initially …

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