Article Text
Miscellaneous
An unusual cause of rectal bleeding in a patient with rheumatoid arthritis
Statistics from Altmetric.com
Clinical presentation
A 75 year old woman presented with rectal bleeding of 10 days’ duration. She had a 26 year history of rheumatoid arthritis and duodenal ulcer. Medications included prednisolone 5 mg, famotidine 20 mg, and indomethacin suppositories 100 mg, all daily. On examination, there was no tenderness in the abdomen. Haemoglobin was 10.0 g/dl. Colonoscopy revealed a diaphragm-like stricture with circumferential ulcer in the rectum (fig 1). Biopsies showed mild non-specific inflammation without granulomas and vasculitis. Culture of stool and biopsies were negative. Tuberculin test was negative.
Figure 1
Colonoscopy showing a diaphragm-like stricture with circumferential ulcer in the rectum.
Footnotes
-
Robin Spiller, editor
Linked Articles
- Miscellaneous