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The radiologist made the diagnosis
  1. J R Bebb1,
  2. K H Latief2
  1. 1Department of Gastroenterology, Nottingham City Hospital, Nottingham, UK
  2. 2Department of Radiology, Nottingham City Hospital, Nottingham, UK
  1. Correspondence to:
    Dr J R Bebb
    Department of Gastroenterology, Nottingham City Hospital, Hucknall Rd, Nottingham NG7 1PB, UK;

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Clinical presentation

A 59 year old man was referred with a one year history of change in bowel habit and a low folate level. He had been opening his bowels more frequently but there was no associated abdominal pain or weight loss. Previous medical history included uveitis. Medication consisted of folic acid and he smoked 40 cigarettes a day. Physical examination was unremarkable. Initial blood tests revealed a normal full blood count, urea and electrolytes, liver and thyroid function, glucose, and C reactive protein A double contrast barium enema was performed (fig 1).

Figure 1

 Double contrast barium enema.


In fig 1, what abnormality is demonstrated and what diagnostic procedure was then performed?

See page 1168 for answer

This case is submitted by:


  • Robin Spiller, editor

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