Editor's quiz: GI snapshot
Ulcers and the colon: keep an open mind
1 Department of Gastroenterology, University Hospital Birmingham, Edgbaston, Birmingham, UK
2 Department of Histopathology, University Hospital Birmingham, Edgbaston, Birmingham, UK
Correspondence to:
Dr R Boulton, Department of Gastroenterology, University Hospital Birmingham, Edgbaston, Birmingham B15 2TH, UK; ralph.boulton@uhb.nhs.uk
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 59-year-old Asian lady was referred with a history of iron deficiency anaemia. Her blood count was 10.5 g/dl with a ferritin of 5 µg/l. A previous upper gastrointestinal (GI) endoscopy with duodenal biopsies had already been undertaken and was normal. She was otherwise asymptomatic apart from weight loss of half a stone in the few months prior to referral. She had no obvious lower GI symptoms and no family history of colorectal cancer. The patient used non-steroidal anti-inflammatory drugs sparingly for joint pains and had a hysterectomy a few years previously. She ate a good diet. On examination she looked well with a body mass index of 37, and abdominal and rectal examination was unrevealing. All other blood investigations were normal. A colonoscopy was undertaken. Endoscopic views of the caecum are shown in fig 1.
Figure 1 Ulceration noted (arrow) in A, and thickened plaques noted in B (star).
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Gut 2008 57: 1267.[Extract] [Full Text] [PDF]
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