[Bronchiectasis in hemorrhagic rectocolitis. Apropos of a case]

Area of Science:

• Gastroenterology and Pulmonology
• Internal Medicine

Background:

• Ulcerative colitis (haemorrhagic rectocolitis) is an inflammatory bowel disease.
• Bronchiectasis is a rare but documented complication of ulcerative colitis.

Observation:

• A 40-year-old patient presented with respiratory symptoms 13 years after the initial diagnosis of ulcerative colitis.
• Bronchography revealed bilateral lower lobe involvement, confirming bronchiectasis.

Findings:

• Abundant bronchorrhoea (excessive mucus production) is a key characteristic.
• Inhaled corticosteroids significantly reduced expectorations and improved bronchial obstruction.

Implications:

• This case highlights the importance of considering bronchiectasis in ulcerative colitis patients with respiratory complaints.
• Effective management of bronchiectasis in ulcerative colitis can be achieved with inhaled or systemic corticosteroids.