EDITOR'S QUIZ: GI SNAPSHOT
An unusual cause of rectal bleeding
1 Department of Gastroenterology, Stepping Hill Hospital, Stockport, UK
2 Department of Histopathology, Stepping Hill Hospital, Stockport, UK
3 Department of Gastroenterology, Stepping Hill Hospital, Stockport, UK
Correspondence to:
Correspondence to:
Dr K P Basavaraju
275 Marriott House, Eastbourne District General Hospital, Eastbourne, East Sussex BN21 2UD, UK; kpbasavaraju@talk21.com
Keywords: rectal bleeding; colonic endometriosis
| The first 100% of the full text of this article appears below. |
A 46 year old woman was referred with a nine month history of lower abdominal pain, altered bowel habit, and per rectal bleed. Her per rectal bleed usually coincided with the onset of her menstrual periods. Her periods were regular but she complained of some intermenstrual bleeding, particularly in the premenstrual days. She had no history of weight loss and her grandfather had carcinoma of the colon. A colonoscopy was performed and the following abnormality (fig 1
) was seen in the rectosigmoid area. Histology of this lesion is shown in figs 2 and 3.
[in a new window] Figure 1 Colonoscopic view of the rectosigmoid area.
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[in a new window] Figure 2 Histological assessment of the colonic lesion (haematoxylin-eosin x200).
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[in a new window] Figure 3 Immunohistochemical staining of the colonic mucosa for CD10 (x400).
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What is the diagnosis?
See page 1408 for answer
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Gut 2006 55: 1408.[Extract] [Full Text] [PDF]
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