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Is indeterminate colitis really indeterminate?
  1. Theodore Ngatchu,
  2. Dawn Cash,
  3. Gerald Langman
  1. Heart of England Foundation Trust, Department of Gastroenterology, Birmingham Heartlands Hospital, Birmingham, UK
  1. Correspondence to Dr Theodore Ngatchu, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK; theodore.ngatchu{at}

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Clinical presentation

A 26-year-old student was referred to the Gastroenterology Department by the general practitioner because of persistent rectal bleeding. At presentation, the patient reported a 3-month history of recurrent frank blood per rectum on defaecation. He had had similar episodes 2–3 years previously but this had subsided. This was not present all the time and his stools were of variable consistency. There was no associated abdominal pain. His appetite was normal and his weight stable. He was not on any medication. The patient originated from Sudan and …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.