Video Tip: Diagnosing a Cecal Patch in Ulcerative Colitis | February 2023-Diagnosing a Cecal Patch in Ulcerative Colitis

Video Transcription

This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.  We're in the secum here of a 32 year old man who presented with rectal bleeding and diarrhea. We're looking at the appendiceal orifice. What is this abnormality?  This is a CEQL patch in ulcerative colitis. These patients typically have distal ulcerative colitis and then a long segment of normal bowel  and then a patch of mucosa at the appendiceal orifice of variable size that looks like typical ulcerative colitis and biopsy will confirm the typical histology  of ulcerative colitis. So this is the so-called CEQL patch. When this is present, there may be an increased risk of extension of distal ulcerative colitis  up into the proximal colon, but an important finding to recognize and document.

Video Summary

The video discusses a case of a 32-year-old man who presented with rectal bleeding and diarrhea. It focuses on an abnormality observed in the secum, specifically the appendiceal orifice. This abnormality is identified as a CEQL patch, commonly found in ulcerative colitis patients. The patch appears as a mucosa at the appendiceal orifice and can vary in size. Biopsy confirms the typical histology of ulcerative colitis. The presence of the CEQL patch may increase the risk of distal ulcerative colitis extending into the proximal colon, making it an important finding to recognize and document. The video tip is sponsored by Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.

Keywords

rectal bleeding

diarrhea

secum abnormality

CEQL patch

ulcerative colitis