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USMLE · Question #486

A 30-year-old man is admitted to the hospital for evaluation. He has a 6-week history of colicky abdominal pain and diarrhea with occasional blood. Three days after admission, he suddenly develops per

The correct answer is B. Crohn disease. See the full explanation below for the reasoning.

Question

A 30-year-old man is admitted to the hospital for evaluation. He has a 6-week history of colicky abdominal pain and diarrhea with occasional blood. Three days after admission, he suddenly develops peritonitis and sepsis. Despite appropriate care, he dies. At autopsy, examination shows a fibrinous exudate over the peritoneal and serosal surfaces, and a punctate opening is seen in the wall of a thickened loop of small intestine. Several lengths of the small and large intestines are also thickened and adherent to one another, with marked areas of narrowing. Photomicrographs of a section of the colon are shown. Which of the following is the most likely diagnosis?

Exhibit

USMLE question #486 exhibit

Options

  • AColon cancer
  • BCrohn disease
  • CDiverticulitis
  • DIschemic necrosis
  • EUlcerative colitis

How the community answered

(17 responses)
  • A
    6% (1)
  • B
    76% (13)
  • D
    6% (1)
  • E
    12% (2)

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