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Mucosal Tear in Collagenous Colitis
Clinical Gastroenterology and Hepatology , 09/04/09
Dunzendorfer T et al. – The patient is a 60–year–old woman with a long history of constipation. One year before presentation she started to experience rectal pain and watery, nonbloody diarrhea. She had a 6–pound weight loss, and empiric treatment elsewhere with antimotility agents was unsuccessful. The patient was treated with Pepto–Bismol, budesonide, mesalamine enemas, metronidazole, and ciprofloxacin. After 3 days the diarrhea and rectal pain resolved, and after 3 weeks all medications, except budesonide, were stopped. After 2 years of follow–up evaluation the patient remains asymptomatic and colonoscopy with biopsy examination was normal.
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