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A 27-year-old man, already a diagnosed case of ulcerative colitis, on treatment with prednisolone, presented with bloody diarrhoea, rectal bleeding and severe anaemia for the last 2 months. There was no evidence of cytomegalovirus/clostridial/any other superimposed infection on biopsy or stool culture. The patient was in remission with corticosteroids for last 2 years. Subtotal colectomy was performed for steroid refractory ulcerative colitis. Gross examination revealed a diffuse carpet of closely packed slender, worm-like, polyps, >100 in number, ranging from 0.3 to 3 cm in length and 0.2–0.6 cm in diameter (figure 1). These polyps were thin, straight, finger-like resembling stalks without heads and were diffusely involving almost the …
Contributors SG planned the study and wrote the manuscript, KG took the photographs and helped in editing, PS supervised the work and did the final editing, SS supervised the paper and provided the clinical details and the specimen.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.