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An unusual cause of rectal bleeding in a young woman

¹ First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
² Nishinjo Hospital, 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: chlamydia trachomatis; colonoscopy; proctitis; sexually transmitted disease

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Clinical presentation
A 24 year old woman presented with bloody rectal discharge of three months’ duration. She had a medical history of herpes progenitalis and candida vaginitis. On examination, there was no tenderness in the abdomen. Routine stool culture and blood tests were negative. Colonoscopy with indigo carmine dye revealed friable and erythematous nodular mucosa in the lower rectum (fig 1).

View larger version (108K): [in this window] [in a new window]   Figure 1  Colonoscopy with indigo carmine dye of the lower rectum.

See page 949 for answer

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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2005 54: 949. [Extract] [Full Text] [PDF]