Identifying the 'Right colon lesion

A 64-year-old woman presented to the colorectal clinic with 3 months of symptoms of loose stools, flatulence and some weight loss. There was no history of abdominal pain, rectal bleeding or anaemia. A similar episode 5 years earlier resolved spontaneously but was investigated with a colonoscopy at that time and revealed diverticular disease and a 3 mm hyperplastic polyp at the hepatic flexure. To investigate the current symptoms, a repeat colonoscopy was advised but this was initially declined in favour of CT colonography (CTC) to avoid the laxative preparation and pain experienced during the previous examination. The CTC was performed following a day of modified diet and three (30 mL) split doses of Gastrografin without any other laxatives. The CTC reported diverticular disease and findings in the ascending colon, which advised a colonoscopy (figure 1A). A subsequent colonoscopy was undertaken and the colonoscope passed to the caecum. The appearance of the...
Source: Gut - Category: Gastroenterology Authors: Tags: GUT Snapshot Editor ' s quiz: GI snapshot Source Type: research