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Letters to the editor
Diversion colitis as a trigger for ulcerative colitis
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Editor,—Lim and colleagues recently presented three cases of diversion colitis which seemed to act as a trigger for instream ulcerative colitis (Gut1999;44:279–282). We would like to present a fourth case which has recently come to our attention and which adds to the literature.
In 1994, a 75 year old woman presented with a five year history of faecal soiling and urinary incontinence. A former smoker of 50 years, the patient had had a traumatic forceps delivery …