© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
GI SNAPSHOT
Self inflicted rectal ulcer: hearing is believing
1 First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
2 Department of Psychiatry, University of the Ryukyus, Okinawa, Japan
Correspondence to:
Correspondence to:
Dr A Hokama
First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-a@med.u-ryukyu.ac.jp
Keywords: rectal ulcer
| The first 100% of the full text of this article appears below. |
A 54 year old woman presented with haematochezia of two weeks duration. She gave no history of straining at defecation or taking non-steroidal anti-inflammatory drugs. Physical examination was unremarkable. A colonoscopic image, showing a shallow longitudinal ulcer involving the anterolateral wall of the lower rectum and anal canal, is depicted in fig 1
. Biopsies showed non-specific inflammation without the presence of fibromuscular obliteration. What further information should be obtained to make a definitive diagnosis? What is the most likely diagnosis?
[in a new window] Figure 1 Colonoscopic image, showing a shallow longitudinal ulcer involving the anterolateral wall of the lower rectum and anal canal.
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GI SNAPSHOT
Gut 2004 53: 20.[Extract] [Full Text] [PDF]
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