{"id":495,"date":"2015-09-23T18:28:41","date_gmt":"2015-09-23T18:28:41","guid":{"rendered":"https:\/\/sred.ro\/?p=495"},"modified":"2021-11-18T18:31:06","modified_gmt":"2021-11-18T18:31:06","slug":"colita-ulcerativa-boala-crohn-sau-colita-nedeterminata","status":"publish","type":"post","link":"https:\/\/sred.ro\/en\/colita-ulcerativa-boala-crohn-sau-colita-nedeterminata\/","title":{"rendered":"Colita ulcerativa, Boala Crohn sau Colita Nedeterminata ?"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]Colita ulcerativa, Boala Crohn sau Colita Nedeterminata ?<\/p>\n<p>Pacienta 61 ani, scadere ponderala, scaun cu mucus si sange. Colonoscopie: rect si o parte din sigmoid (in total 25-30 cm de la orificiul anal) cu ulceratii superficiale, edem, eritem, mucus (afectare continua, fara \u201cskip area\u201d); limita de demarcatie neta fata de mucoasa normala din restul colonului (descendent, transvers si o parte din ascendent) &#8211; sugereaza colita ucerativa. Apoi, zona cecului si o parte din ascendent cu aceleasi modificari ale mucoasei ca si in rect.<br \/>\nPacientii cu colita ulcerativa stanga (procto-sigmoidita) pot prezenta o usoara inflamatie langa orificiul apendicular sau la cec (\u201ccecal patch\u201d) dand impresia falsa de \u201cskip lesion\u201d, o caracteristica a bolii Crohn (E.Telakis et al. Annals of Gastroenterol 2008).<br \/>\nPana in acest moment: colita ulcerativa cu \u201ccecal patch\u201d, boala Crohn cu \u201cskip area\u201d sau colita nedeterminata ?<br \/>\nIntubarea ileonului teminal: ulceratii aftoide, eritem, edem focal. Dg diferential cu \u201cbackwash ileitis\u201d intalnit in 10% cazuri cu pancolita ulcerativa activa.<br \/>\nConcluzie: prezenta ulceratiilor aftoide in ileonul terminal inclina dg final catre Boala Crohn.<br \/>\nImagini in lumina alba si cu i-scan, pentru comparatie.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;496,497,498,499&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Colita ulcerativa, Boala Crohn sau Colita Nedeterminata ? Pacienta 61 ani, scadere ponderala, scaun cu mucus si sange. Colonoscopie: rect si o parte din sigmoid (in total 25-30 cm de la orificiul anal) cu ulceratii superficiale, edem, eritem, mucus (afectare continua, fara \u201cskip area\u201d); limita de demarcatie neta fata de mucoasa normala din restul colonului [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":500,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-495","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cazul-lunii"],"featured_image_src":{"landsacpe":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_163_default_big-700x445.jpeg",700,445,true],"list":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_163_default_big-463x348.jpeg",463,348,true],"medium":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_163_default_big-300x251.jpeg",300,251,true],"full":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_163_default_big.jpeg",700,586,false]},"_links":{"self":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/comments?post=495"}],"version-history":[{"count":1,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/495\/revisions"}],"predecessor-version":[{"id":501,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/495\/revisions\/501"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media\/500"}],"wp:attachment":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media?parent=495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/categories?post=495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/tags?post=495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}