A Child with Ulcerative Colitis - A Case Report

Ulcerative colitis in children has not been reported previously in bangladesh. this case report is of a 7 year old girl who presented with frequent passage of slimy stool mixed with blood for 4 months. she also had fever, weight loss, abdominal pain and urgency at defecation. barium enema showed pancolitis with multiple pseudopolyps and collar button appearance. colonoscopy revealed a friable and granular mucosa with diffuse ulceration and multiple pseudopolyps. there was bloody exudate and the lumen was narrow. histopathology findings showed necrosed tissue probably representing a base of ulcer and inflammatory cell infiltrate in the lamina propria. the crypt architecture was distorted with cryptitis and goblet cell depletion. there was no granuloma. she was diagnosed as a case of ulcerative colitis & treated with sulfasalazine and oral corticosteroid. her response to treatment was very well and now she is on regular follow up.