Editor's quiz: GI snapshot
An abnormal rectal flat lesion
1 Digestive Endoscopy Unit, Catholic University, Rome, Italy
2 Surgical Department, Catholic University, Rome, Italy
Correspondence to:
Professor G Costamagna, Digestive Endoscopy Unit, Catholic University, Largo A. Gemelli 8, 00168, Rome, Italy; gcostamagna@rm.unicatt.it
| The first 150 words of the full text of this article appear below. |
A 66-year-old man was referred to our department with rectal bleeding and abdominal pain. Physical examination and laboratory tests were unremarkable. A 25 mm flat lesion with elevated borders and irregular surface, located 3 cm proximally to the dentate line was diagnosed. The endoscopic appearance was suggestive of a rectal lateral spreading tumour and endoscopic resection was required. Indigo carmine solution (0.2%) was used to highlight the margins and the mucosal details of the lesion. Saline injection polypectomy en bloc of the rectal lesion was successfully performed.
QUESTION
What is the endoscopic diagnosis and the pathological finding of the rectal lesion?
See page 1220 for the answer
This case is submitted by:
Figure 1 (A) A 25 mm flat lesion was diagnosed 3 cm proximally to the dentate line. (B) Chromoendoscopy with indigo carmine (0.2%) was performed in order to better visualise the surface details and the margins of the lesion. (C) Submucosal | |||||||||
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ANSWER
Gut 2008 57: 1220.[Extract] [Full Text] [PDF]
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