A 37 year old male presented to the Surgery OPD with recurrent episodes of bloody diarrhea

A 37 year old male presented to the Surgery OPD with recurrent episodes of bloody diarrhea, abdominal pain and weight loss. Right lower quadrant tenderness is elicited on palpation of the abdomen. Colonoscopicexamination reveals mucosal erythema and geographical ulcers. Biopsy was taken and histopathology is shown below. Which of the following statements is true for this disorder?

A. Increased risk of colonic adenocarcinoma

B. No risk of fissure or sinus

C. Anti saccharomyces cerevisae antibody is positive

D. Transmural involvement

E. Granuloma presence is diagnostic

ulcerative colitis? Coz there is also less chances of fissure, fistula in UC than crohn’s disease.

yes there is relatively less risk; but no risk would not be appropriate; if option A was not there B could be the next best answer

A looking its ulcerative colitis so inc chance of colonic carcinoma is most likely

A - Ulcerative colitis - crypt abscess seen

The history in the question is suggestive of a Inflammatory bowel disease while the image shows crypt accesses. So, its a case of Ulcerative colitis and the true statement out of these for UC is A.