Editor's quiz
All that’s elevated is not a polyp
First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
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
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 69-year-old man presented with sudden onset of painless haematochezia. He had a 10-year history of angina pectoris and atrial fibrillation and had been treated with warfarin and aspirin. Physical examination showed no tenderness on palpation in the abdomen, and his haematocrit was 35%. Colonoscopy after oral polyethylene glycol preparation showed multiple diverticula and an 8 mm sessile polypoid lesion in the sigmoid colon.
The polypoid lesion was the same shiny pink colour indistinguishable from the surrounding normal mucosa (fig 1).
Figure 1 Colonoscopy showing a sessile polypoid lesion with the same shiny pink colour indistinguishable from the surrounding normal mucosa in the sigmoid colon.
| |||||||||
QUESTIONS
What other procedures are needed? What is the diagnosis?
See page 702 for the answers.
This case is submitted by:
Robin Spiller, editor
Competing interests: None.
Patient consent: Obtained.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
