When hematochezia becomes a red herring
| Journal | Volume 84 - 2021 |
| Issue | Fasc.4 - Clinical images |
| Author(s) | S. Smeets 1, F. Dedeurwaerdere 2, E. Thomaere 3, B. Houthoofd 3, L. D’Hulst 4, P. Wilmes 5, F. Offner 6, S. De Coninck 7 |
| Full article |
 PAGES 684-684 VIEW FREE PDF |
| DOI | 10.51821/84.4.025 |
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Affiliations: (1) Gastroenterologist in training, University hospital of Ghent
(2) Department of anatomopathology, Sint-Andries hospital, Tielt (3) Department of radiology, Sint-Andries hospital, Tielt (4) Department of nulcear medicine, Sint-Andries hospital, Tielt (5) Department of oncology, Sint-Andries hospital, Tielt (6) Department of hematology, University hospital, Ghent (7) Department of gastroenterology, Sint-Andries hospital, Tielt |
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An 81-year-old male patient presented on the emergency ward for hematochezia, without any other complaints. Rectosigmoidoscopy showed a predominant patchy inflammation of the mucosa with several bluish blebs (submucosal hemorrhage) and small ulcerations. (Figure 1A). Subsequent elective colonoscopy (1) revealed multiple submucosal hematomas and mucosal lacerations throughout the entire colon in between normal mucosa. During the procedure spontaneous mucosal tears occurred. (Figure 1B). Multiple biopsies were taken. |
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© Acta Gastro-Enterologica Belgica. PMID 34965057 |
