A 72-year-old
man presented with bleeding per rectum and was admitted to the endoscopy unit. The patient
gave a history of liver cirrhosis and splenomegaly. The patient underwent a total
colonoscopy. The scope revealed 2 polyps in the cecum, one ulcer in the
transverse colon, spider nevus in the transverse colon, and polypoid reddish
mucosa covered with a whitish dirty membrane in the rectosigmoid region.
As regards the spider nevus, is it common in the colon, or is it a vascular ectasia and not true spider nevus?
As regards
the cecal polyps, are they benign, and should we remove them? Should we remove them with snare or biopsy forceps?
Concerning
the rectosigmoid lesions, what is your endoscopic diagnosis?
1- Portal hypertensive
colonopathy
2- Ulcerative colitis
3- Clostridium difficile infection
4- Viral infection
5-
Other (mention)
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