Article Text

History reveals the cause of rectal bleeding
  1. C Messidoro,
  2. L Berk,
  3. A P Rietveld
  1. Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, The Netherlands
  1. Correspondence to Dr C Messidoro, Department of Internal Medicine, Sint Franciscus Gasthuis, Postbus 10900, 3004 BA, Rotterdam, The Netherlands; c.messidoro{at}

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Clinical presentation

A 32-year-old man presented at our outpatient’s clinic with painless rectal bleeding and abdominal discomfort of several years duration. The blood was coloured red and mixed with the stool. His medical history revealed a scoliosis correction, appendectomy, hypertrophy and varicose veins of the right leg. The right leg was surgically corrected for its excessive length. Physical examination of the heart, lungs and abdomen …

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