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A 72-year-old man was referred for a flexible sigmoidoscopy because of transfusion-dependent rectal bleeding. The patient had undergone an allogeneic stem cell transplant for acute myeloid leukaemia and had previous radiotherapy for prostate cancer. A previous sigmoidoscopy had diagnosed a solitary rectal ulcer and diffuse bleeding from radiation proctitis treated with haemostatic powder.
Blood tests prior to the repeat sigmoidoscopy showed thrombocytopaenia (47×109/L) and neutropaenia (0.33×109/L) and normal coagulation. A platelet transfusion and a phosphate enema were administered preprocedure, and a flexible sigmoidoscopy was performed to the descending colon using carbon dioxide insufflation. There was no evidence …
Contributors ADH performed the procedure, planned the manuscript and helped with writing the case report. MS did a literature review and wrote the case report. SL and LH looked after the patient, who was admitted to Sheffield Teaching Hospitals.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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