Subtotal colectomy with Deloyers colo-anal anastomosis for refractory ulcerative colitis: A case report

Figure 1 Baseline colonoscopic findings. Initial colonoscopic evaluation revealing severe active pancolitis (Mayo Endoscopic Score 3) with diffuse erythema, friable mucosa, and deep ulcerations prior to biologic therapy. The terminal ileum was endoscopically normal with no evidence of inflammation, and random biopsies from the ileum and colon showed features consistent with ulcerative colitis without granulomas or other findings suggestive of Crohn’s disease.