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Case Records of the Massachusetts General Hospital
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Volume 353:1836-1844 October 27, 2005 Number 17
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Case 33-2005 — A 43-Year-Old Man with Lower Gastrointestinal Bleeding
Joshua Korzenik, M.D., Daniel C. Chung, M.D., Subba Digumarthy, M.D., and Kamran Badizadegan, M.D.

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Presentation of Case

Dr. Joshua D. Moss (Department of Medicine): A 43-year-old man was admitted to the hospital because of blood in his stool.

When the patient was a child of about three and half years of age, his mother first noted bright red blood in his stool, without other symptoms. He was evaluated at this hospital. On examination, two areas of telangiectasia were present on the buccal mucosa. Examinations of the child's heart, lung, and abdomen revealed no abnormalities. Iron-deficiency anemia had been present. Sigmoidoscopy performed under general anesthesia revealed a 1-cm pedunculated polyp 18 cm from the rectum, and two smaller . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joshua Korzenik and Dr. Daniel C. Chung's Diagnosis

Pathological Discussion

Discussion of Management

Addendum

Anatomical Diagnosis


Source Information

From the Gastrointestinal Unit (J.K., D.C.C.) and the Departments of Radiology (S.D.) and Pathology (K.B.), Massachusetts General Hospital; and the Departments of Medicine (J.K., D.C.C.), Radiology (S.D.), and Pathology (K.B.), Harvard Medical School.




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