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An uncommon cause of bowel obstruction in Ulcerative Colitis João Correia, Catarina Gomes, Edgar Afecto, Manuela Estevinho, João Carvalho Centro Hospitalar Vila Nova de Gaia/Espinho, EPE We report an unusual case of acute bowel obstruction in a patient with ulcerative colitis, due to a 20cm-length area on the sigmoid colon of circumferentially congestive mucosa with large polypoid areas, leading to a marked reduction of the luminal caliber. No signs of dysplasia or malignity were found on histological evaluation. After multidisciplinary discussion, an elective total colectomy with ileorectal anastomosis was performed. The relevance of this case lies not only on the rarity of bowel obstruction due to post-inflammatory polyps in ulcerative colitis, but it also raises awareness to the importance of a multidisciplinary approach in Inflammatory Bowel Disease. Outras fotos:Error