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

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Question:
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The summer of this year is here again - at least on our half of the globe. During the summer - in June, July and August - the Quiz will be quite easy for two reasons. First, a quick answers save You time to be out in the sun. Second, You do not have to be an expert in endoscopy to manage in this quiz during the summer. So - if You are a health care professional just thinking of starting a career in endoscopy, please have a try - You might find it interesting!
This lady in her thirthies had seen some blood in her stools for several years from time to time, every day during the last four months. This is the finding in the rectum - the sigmoid colon was quite normal as was the rest of the large bowel. What is this typical finding?
Answer
Rectal Ulcerative Colitis
One can argue that this is a normal ulcerative proctitis. In this case all of the rectum was affected. Ulcerative proctitis usually affects only the distal half. The ulcerations are also a bit more prominent than in a typical ulcerative proctitis. And it could be Crohn´s disease, some of the ulcers are linear. However, the background mucosa is also clearly affected. But it is possible, the future will tell.
 A typical ulcerative proctitis
Correct answers and comments were emailed by
Dr.Virendra Parikh, Fort Wayne, USA, Indiana
Christian Nielsen, Uppsala, Sweden
German Lloret_Salom, Alzira, España
luisguilermoguerrero, bogota, Colombia
Kubilay Cinar, Ankara, Turkey
Dr.ARBER F. VELIU, Prishtina, KOSOVO
Dario Gambaccini, Livorno, Italy
BALAZ MARIAN Dr., Benesov, Czech republic
Hurler, Ulrike, Heidenheim, Germany
Abdón Guerra, San Antonio, CHILE
dongjun fan, taiyuan, china
Chunliang Shi, Umea, Sweden
Christos Zavos, Thessaloniki, Greece
 Pigeon Rocks, Beirut, Lebanon
Zahreddine Radwan, Beirut, Lebanon
abubaker, Manchester, UK
Salvatore Della Ducata, Gallipoli, Italy
jaber badran, dir azzor, Syria
Jeanene P. Barnes, Lansing, USA
Curt Tysk, Orebro, Sweden
Stella, Sparta TN, USA
Alberto Herreros de Tejada, Madrid, Spain
L KIRKHAM, MILTON KEYNES, U.K.
Andras Fenyvesi, Palermo, Italy
Murat Nihat ARSLAN, Edirne, Turkey
Ervin Toth, Malmö, Sweden
Fuad Pasic, Tuzla, Bosnia
Dr. Bhagwan Thakur, Bombay, India
Amira Fadl, Khartoum, Sudan
 Alanya, Turkey
Ýlker ABCI, Alanya, Turkey
borhan aissaoui, el hamma, Tunisia
Melissa Krause, Powder Springs, USA / Georgia
jorge ferreiro, Minneapolis, MN, USA
MUDr.Balaz Marian, Benešov, Czech Republic
David Swain, London, UK
PARABOLI SILVA, Marcio Luiz , CAMPO MOURAO, BRAZIL
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