Abstract

The case of a 45-year-old female patient with a history of Hypertension, smoker and history of omeprazole consumption for a prolonged period was presented, referring to the Gastroenterology consultation of the Princess Marina Hospital of Gaborone in Botswana for a picture of watery diarrhea of more than 6 months of evolution. Laboratory tests, parasitological study, stool culture, abdominal ultrasound and video colonoscopy with biopsy were performed. Video colonoscopy showed edema with areas of severe erythema and mucosal fragility. The histological diagnosis was a collagenous colitis, a type of microscopic colitis that is characterized by a deposit of subepithelial collagen, long-standing watery diarrhea and colonoscopies that show a normal colonic mucosa in the vast majority of cases. Although most of the patients present a normal endoscopic study, it is no frequent but not uncommon for inflammatory signs detected by endoscopy to appear, so this condition should be included in the differential diagnosis with other inflammatory bowel diseases, constituting the histology the only specific diagnostic exam. Treatment with Budesonide was indicated and the patient is currently in clinical remission and follow-up.

Keywords: Collagenous Colitis; Gastroenterology; Endoscopy

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Citation

Citation: Miguel Vanterpool Hector., et al. “Collagenous Colitis with Endoscopic Manifestations: About a Clinical Case”. Acta Scientific Women's Health 3.11 (2021): 21-24.

Copyright

Copyright: © 2021 Miguel Vanterpool Hector., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.