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An unusual internal pile
  1. Khalil Honein1,
  2. Rita Slim1,
  3. Fady Daniel1,
  4. Cyril Tohme2,
  5. Cesar Yaghi3,
  6. Joe Boujaoude3,
  7. Raymond Sayegh3
  1. 1Gastroenterology Department, Hotel-Dieu de France University Hospital, Achrafieh, Beirut, Lebanon
  2. 2General Surgery Department, Hotel-Dieu de France University Hospital, Achrafieh, Beirut, Lebanon
  3. 3Gastroenterology Department, Hotel-Dieu de France University Hospital, Achrafieh, Beirut, Lebanon
  1. Correspondence to:
    Dr Fady Daniel
    Gastroenterology Department, Hotel-Dieu de France University Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, Lebanon; fadydaniel{at}hotmail.com

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Clinical presentation

A 60 year old female underwent total colonoscopy for recurrent painless haematochezia. She reported no past medical history of abdominal or anorectal symptoms. Physical examination was unremarkable. …

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