Case 183

Test Question

A 29-year-old male patient presented a three-year history of diarrhea, progressing with 10 kg weight loss in the past two years. Currently, he evacuates about 10 times a day, with liquid to pasty faeces containing food debris, denies presence of blood or mucus. There is a voluminous defecation associated with urgency and tenesmus. A colonoscopy was requested as well as a opaque enema.

According to the clinical history and exams, the most likely diagnosis is:

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