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Caecal ulceration in an asymptomatic man
  1. Nan Wu,
  2. John Saul Freiman
  1. Department of Gastroenterology, St George Hospital, Kogarah, NSW, Australia
  1. Correspondence to Dr Nan Wu, Department of Gastroenterology, St George Hospital, Gray Street, Kogarah, NSW 2217, Australia; betty_n_wu{at}yahoo.com

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A 66-year-old Caucasian man underwent bowel cancer screening colonoscopy. He was asymptomatic with no significant medical history and no family history of bowel cancer or IBD. Clinical examination was normal and routine blood tests including haematinics, renal function, electrolytes and liver function were normal. Colonoscopy revealed several shallow periappendiceal caecal ulcers (figure 1). CT revealed caecal thickening with a few small para-caecal lymph nodes. The liver, spleen, small intestine and remaining colon were normal (figure 2).

Figure 1

Caecal ulcer …

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