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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:641-649 February 27, 1997 Number 9
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Case 7-1997— A 14-Year-Old Girl with Recurrent Painless Rectal Bleeding
Richard B. Colletti, and Carolyn C. Compton

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Presentation of Case

A 14-year-old girl was admitted to the hospital because of recurrent rectal bleeding.

She had been in excellent health until three years earlier, when she began to pass blood-tinged stools. The bleeding increased during the course of several days. A proctosigmoidoscopic examination showed no abnormality. Hydrocortisone enemas were followed by the cessation of bleeding. She was then well until 45 days before admission, when her stools again became blood-tinged, and she later passed frank blood rectally. A colonoscopic examination did not reveal the source of the bleeding. Hematochezia continued. Twenty-seven days before admission, the results of an esophagogastroduodenoscopic examination at . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard B. Colletti's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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