Other microscopic findings included an increase in colonic and small bowel intraepithelial lymphocytes compatible with microscopic enteritis and colitis. Elastic stains confirmed that the lymphocytic infiltrate was surrounding veins (Figures 7 & 8). Bowel habits can vary from person to person, day to day. ![]() Additional sections showed lymphocytic vascular and perivascular inflammation (Figures 3 & 4) with foci of inflammation containing epithelioid histiocytes and giant cells within the submucosa and subserosa (Figures 5 & 6). The polyp was entirely submitted and histologic sections revealed a tubular adenoma with no evidence of high-grade dysplasia or invasive carcinoma (Figure 2). Gross examination showed a 4.7 cm pink-brown bosselated, polypoid sessile lesion involving the colonic mucosa (Figure 1). Biopsies of the polyp revealed a tubular adenoma however, it was not endoscopically resectable and a right hemicolectomy was performed. Given the history of collagenous colitis and recent worsening of diarrhea, the patient underwent a colonoscopy that demonstrated a large polyp involving the hepatic flexure, which involved multiple folds and approximately 50% of the circumference of the large intestine. Huber, DO Clinical HistoryĪ 75-year-old male with a history of aortic stenosis, hypertension, atrial fibrillation, chronic kidney disease, collagenous colitis, and celiac disease presented with a two-week history of watery diarrhea and several episodes of fecal incontinence. The thyroid is a butterfly shaped organ that is located in the neck and surrounds the voice box. ![]() Thyroid problems are one of the most common problems that impact metabolism. ![]() Bell, MD, MS, Larissa Temple, MD, and Aaron R. If you have experienced changes in your regular bowel habits, thyroid problems may be the culprit. Case of the Month: Change in Bowel Habitsīy Phoenix D. Tell your GP if you have noticed any persistent and unexplained changes in your bowel habit, especially if you also have bleeding from your bottom.
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