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A dramatic finding at colonoscopy: cause for concern?
  1. Benjamin Crooks1,
  2. Fotios Sampaziotis2,
  3. Emma Purkis2,
  4. Sarah Cerys2,
  5. Susan Catnach2
  1. 1Gastroenterology Department, Watford General Hospital, Watford, Herts, UK
  2. 2Gastroenterology Department, Hemel Hempstead Hospital, Hemel Hempstead, Herts, UK
  1. Correspondence to Dr Benjamin Crooks, Gastroenterology Department, Watford General Hospital, Vicarage Road, Watford, Herts WD18 0HB, UK; crooks.benjamin{at}

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Case report

A 66-year-old woman with a background of diverticular disease, hypertension, chronic kidney disease and amaurosis fugax was referred to our unit for colonoscopy as part of the bowel cancer screening programme following a positive faecal occult blood result.

The colonoscopy was performed following bowel preparation with Moviprep and under sedation with Midazolam 1.5 mg and Pethidine 25 mg. The procedure was straightforward using carbon dioxide for insufflation. Upon examination of the ascending colon several bright red linear lesions with some extravasation of fresh blood were noted (figure 1). These lesions were visualised in …

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  • Contributors BC and FS co-authored the paper. SC performed the patient's colonoscopy, diagnosed the lesion, reviewed and amended the paper. EP contributed to the initial literature search and SC as BCSP screening practitioner co-ordinated retrieval of patient's results and communicated with the patient.

  • Competing interests None.

  • Patient consent Obtained.

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