A 51-year-old female patient complains of frequent defecation and liquid blood-streaked stools with mucus admixtures, diffuse pain in the inferolateral abdomen, 6 kg weight loss over the previous month. Objectively: body temperature - 37,4°C, malnutrition, skin is pale and dry. Abdomen is soft, sigmoid is painful and spasmodic, makes a rumbling sound. Liver is dense, painful, extends 3 cm below the costal margin. What is the most likely diagnosis?

Answer options

1. Helminthic invasion
2. Intestinal enzymopathy
3. Non-specific ulcerative colitis
4. Sprue
5. Bacillary dysentery

Explanation

A 51-year-old female patient complains of frequent defecation and liquid blood-streaked stools with mucus admixtures, diffuse pain in the inferolateral abdomen, 6 kg weight loss over the previous month. Objectively: body temperature - 37,4°C, malnutrition, skin is pale and dry. Abdomen is soft, sigmoid is painful and spasmodic, makes a rumbling sound. Liver is dense, painful, extends 3 cm below the costal margin. What is the most likely diagnosis? Nonspecific ulcerative colitis is a chronic inflammatory disease of the colon and rectum, which develops starting from the rectum. Usually, the periods of exacerbation of ulcerative colitis alternate with the absence of its evident symptoms.