the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: December 2003

the GASTROLAB Old Quiz

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The Old Endoscopy Quiz (and Answer) of the Month
December 2003

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Question:

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This old lady came to an examination of her large bowel as she had suffered from obstipation for all her life - but now in the latest years also had quite loose stools sometimes. These are images from her large bowel, the first image from the caecal region. What is this finding?

Answer

    Melanosis Coli
    Melanosis coli is a brown pigmentation of the mucosa in the large bowel. The etiology of this pigmentation is the usue of anthraquinone laxatives (as cascara, aloe, senna). The pigmentation in itself is not dangerous but is a sign of excessive use of laxatives.

Correct answers and comments were emailed by

    Salvatore Della Ducata, Gallipoli, Italy
    Sheikh Anwar aAbdullah, Kuala Lumpur, Malaysia
    Chunliang Shi, Umea, Sweden
    Dr.ARBER F.VELIU, Prishtina, Kosovo
    HAISSAM NOURALLAH, KUWAIT
    Dr.Virendra Parikh, Fort Wayne, Indiana, USA
    Massimo Picasso, Sanremo, Italy

    A scene from Praha, Prague
    Vozeh Petr, Praha, Èeská republika
    Luis Guillermo Guerrero, Bogota, Colombia
    Dana, Bethlehem, PA
    Christos Zavos, Thessaloniki, Greece
    Klaudia Niepsuj, Bytom, Poland
    Hurler, Ulrike, Heidenheim, Germany

Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon. My son, Lars, is spending his New
      Years vacation in Beirut. So please send my best regards if You see him there!
    German Lloret Salom , Alzira, Spain
    csaba gog, Mako, Hungary
    PARABOLI SILVA, Marcio Luiz , SAO JOSE DO RIO PRETO , BRAZIL
    BHAGWAN S. THAKUR, MUMBAI, INDIA
    jenifer, weatherford, tx
    Sue Gritt, Winchester, UK
    Rodrigo Castano, Medellín, Colombia
    Peggy Watt, Iron Mountain, Michigan, USA
    Altin Cekodhima, Tirana, Albania
    Yaşar Nazlıgül, Ankara, TÜRKİYE

    Madrid, Spain
    Alberto Herreros de Tejada, Madrid, Spain
    James Meadows, Leeds, UK
    Abdon Guerra, San Antonio, CHILE

    Comments:

      ... and A Happy New Year to You all!