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Editor's quiz: GI snapshot
An unusual cause of colonic stricture with polyps
  1. Shuhei Fukunaga1,
  2. Hidetoshi Takedatsu1,
  3. Hiroko Muta2,
  4. Keiichi Mitsuyama1,
  5. Takuji Torimura1
  1. 1 Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka, Japan
  2. 2 Department of Pathology, Kurume University School of Medicine, Kurume, Fukuoka, Japan
  1. Correspondence to Dr Hidetoshi Takedatsu, Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan; takedatsu_hidetoshi{at}kurume-u.ac.jp

https://doi.org/10.1136/gutjnl-2016-312737

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    Clinical presentation

    A 70-year-old man with no history of IBD was admitted to our department with right-sided abdominal pain and bloating. He was a non-smoker and a non-alcoholic drinker. Vital signs on initial examination were within normal range. Abdominal examination revealed a palpable tender mass (5×5 cm) in the right abdomen. Laboratory results were as follows: white cell count, 13.4×109/L; haemoglobin, 13.5 g/dL; platelet count, 311×109/L; erythrocyte sedimentation rate, 64 mm/hour; albumin, 3.62 g/dL; and C-reactive protein, 3.97 mg/dL.

    Abdominal CT revealed a thickening of the wall (localised high-density mass-forming lesion) in the ascending colon (figure 1A). …

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    Footnotes

    • Contributors SF wrote this paper. SF, HT, KM and TT treated the patient. HM carried out a pathological assessment of the case.

    • Competing interests None declared.

    • Patient consent Obtained.

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