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A 45-year-old man with history of ulcerative colitis presents for endoscopic assessment of his J-pouch after experiencing occasional bleeding, urgency, and abdominal pain for the past 3 months. He does not smoke or use nonsteroidal anti-inflammatory drugs; he was unresponsive to antibiotics and topical mesalamine preparations. Endoscopic images of the pouch and prepouch ileum are shown (Figures 1 and 2). What is the most likely histologic finding from the biopsies?
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Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717130/all/. Accessed 23 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717130/all/. Accessed April 23, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717130/all/
[Internet]. In: ASCRS Question Bank. [cited 2026 April 23]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717130/all/.
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ID - 3717130
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717130/all/
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

