Article Text

Download PDFPDF

An unusual treatment for a colonic polyp
  1. A Viscido1,
  2. A Aratari1,
  3. M Pimpo1,
  4. V D’Ovidio1,
  5. G Frieri1,
  6. R Caprilli1,
  7. M G Porpora2,
  8. M Crobu2
  1. 1GI Unit, Department of Clinical Sciences and Gynaecological Unit, University “La Sapienza”, Rome, Italy
  2. 2Department of Gynaecological Sciences, Perinatology and Child Health, University “La Sapienza”, Rome, Italy
  1. Correspondence to:
    A Aratari
    Dipartimento di Scienze Cliniche, Policlinico Umberto I, Viale del Policlinico 155, 00161 Roma, Italy;

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Clinical presentation

A 42 year old woman, gravida 3 para 2, was referred to our outpatient clinic for abdominal pain, bloody diarrhoea, and sideropenic anaemia (haemoglobin 9.9 g/dl, iron 40 μg/dl; ferritin 3 ng/dl). Eight months earlier she had underwent colonoscopy. A polyp in the sigmoid colon had been found and removed by hot snare polypectomy. Histological examination had showed the presence of endometriotic foci. After polypectomy, symptoms disappeared. She had never complained of dysmenorrhoea or dyspareunia, symptoms often associated with endometriosis.

Six months later symptoms recurred. We performed colonoscopy twice, during menses and in the intermenstrual period (figs 1, 2, respectively). Colonoscopies showed a polypoid lesion at the same site of the previous polypectomy.


What do these endoscopic images suggest and how would you manage this patient?

See page 1019 for answer

This case is submitted by:

Linked Articles

  • Editor's quiz: GI Snapshot
    BMJ Publishing Group Ltd and British Society of Gastroenterology