Inflammatory bowel disease

Ulcerative proctitis

Topic Completed: 1 May 2013

Minor changes: 23 November 2020

Copyright: 2003-2021,, Inc.

PubMed Search: ulcerative proctitis

Hanni Gulwani, M.B.B.S.
Page views in 2020: 3,115
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Cite this page: Gulwani H. Ulcerative proctitis. website. Accessed October 28th, 2021.
Definition / general
  • Proctitis: inflammation of rectum, diagnosed by endoscopy
  • Ulcerative proctitis: localized form of ulcerative colitis that usually presents as fresh rectal bleeding
  • Good prognosis
Case reports
Clinical images

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Endoscopic view

Gross description
  • Resembles extensive ulcerative colitis
Gross images

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Hemorrhagic mucosa

Total colectomy

Typical longitudinal ulcers

Microscopic (histologic) description
  • Resembles ulcerative colitis but may have mucosal lymphoid follicles
Microscopic (histologic) images

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Colitis with crypt abscess

Colitis with heterotopic ossification

Differential diagnosis
  • Lymphoid follicular proctitis: no ulceration, no acute inflammation
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