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A rare cause of rectal bleeding

Journal Volume 81 - 2018
Issue Fasc.2 - Clinical images
Author(s) Ekrem Aslan, Can Gonen
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(1) Department of Gastroenterology, Liv Hospital, Istanbul, Turkey ; (2) Department of Gastroenterology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.

A 65 year-old-woman with a prior history of diabetes mellitus, heart failure and atrial fibrillation, was referred to our endoscopy unit because of rectal bleeding. Digital examination of the rectum revealed a firm, nonobstructing mass near the anal verge. Rectosigmoidoscopy showed a 3cm, blackish mass which is located next to internal hemorrhoids, and just above the dentate line (Figure 1). Biopsy of the mass lesion was performed. Bleeding after biopsy procedure was controlled by argon plasma coagulation therapy.

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PMID 30024717