Intest Res.  2018 Oct;16(4):641-645. 10.5217/ir.2018.00035.

Probe-based confocal laser endomicroscopy in the differential diagnosis of inflammatory bowel diseases: a case series

Affiliations
  • 1Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. geniushee@yuhs.ac

Abstract

No abstract available.


MeSH Terms

Diagnosis, Differential*
Inflammatory Bowel Diseases*

Figure

  • Fig. 1. Changes of the intestinal mucosa detected by probe-based confocal laser endomicroscopy in UC (Patient A). (A) Irregular architecture and increased distance between the colonic crypts. (B) Leakage of fluorescein into the crypt lumen from the interstitium of the colon. (C) Normal colonic crypts with no fluorescein in the lumen and no crypt distortion.

  • Fig. 2. Changes of the intestinal mucosa detected by probe-based confocal laser endomicroscopy in a CD (Patient C). (A, B) Ileocecal valve ulcer; crypt destruction, fluorescent spillage, no granuloma visible. (C) Straight appearance of crypts with luminal opening of the crypts resembling as black holes in the normal mucosa of sigmoid colon.

  • Fig. 3. Changes of the intestinal mucosa detected by probe-based confocal laser endomicroscopy in intestinal Behçet’s disease (Patient E). (A) Anastomosis site ulcer; crypt destruction with disarrayed feature. (B) Abundant inflammatory cell infiltration. Granuloma, AFB, or vasculitis not visible. (C) Normal colonic crypts with no fluorescein in the lumen and no crypt distortion.


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