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Seeing red after a prostate procedure
  1. Maximillian Hugo Brodermann,
  2. Mark A Samaan,
  3. Shameer Mehta,
  4. Sara McCartney
  1. Department of Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Sara McCartney, Department of Gastroenterology, University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK; sara.mccartney{at}

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Clinical presentation

A 71-year-old man attended accident and emergency with a 1-day history of rectal bleeding without associated abdominal pain, change in bowel habit or history of GI disease. On admission, his haemoglobin was normal at 147 g/L with normal platelets of 194×109/L. There was a raised white blood cell count of 12.2×109/L (normal range 4.5−11×109/L) and normal C-reactive protein of 2.2 mg/L. His urea and electrolytes and liver function tests were normal. The patient had no recent changes to his regular medication and did not take non-steroidal anti-inflammatory drugs, antiplatelet or anticoagulant medications. He reported feeling well with no fevers or weight loss and denied any previous similar episodes. He had recently undergone a minimally …

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  • Contributors MHB and MAS drafted the manuscript, which SM and SMc reviewed for important intellectual content. All the authors reviewed and edited the final article.

  • Competing interests MHB: None. MAS: Advisory fees: Takeda, Janssen and Falk. Lecture fees: Takeda, MSD, Janssen and Falk. SM: None. SMc: Advisory fees: Abbvie and MSD.

  • Patient consent for publication Obtained.

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