BOF 98

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BOF: 98

A 27 year old female who is known to have Crohn’s disease and who has had a right hemicolectomy presents with diarrhoea.

She has not been on drugs to maintain remission of Crohn’s disease.

On examination apart from scars of previous surgery, there are no physical signs detected.

Investigations are unremarkable apart from a Hb level of 9.6 g /dL.

As part of her evaluation she undergoes colonoscopy which is reported as showing normal mucosa.

Biopsies of the colon show infiltration of lymphocytes in the lamina propria.

In this patient which one of the following would be the likely underlying diagnosis?

a)      Coeliac disease

b)      Small bowel bacterial overgrowth

c)      Recurrent Crohn’s disease

d)     Bile acid malabsorption

e)      Laxative abuse

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