Endgames Spot Diagnosis

Characteristic sign of a colonic submucosal lesion

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5181 (Published 02 October 2015) Cite this as: BMJ 2015;351:h5181
  1. Pazhanivel Mohan, assistant professor1,
  2. Abdoul Hamide, professor of medicine1
  1. 1Department of Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
  1. Correspondence to: P Mohan dr.pazhani{at}gmail.com

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …

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