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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
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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