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The Old Endoscopy Quiz (and Answer) of the Month June 2006

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Question:
This quite old lady had suffered from a slight iron deficiency anaemia for about five years. An upper endoscopy did not provide any explanation. A colonoscopy showed some diverticulas in her sigmoid colon. This is the finding an her caecum. What is this finding?
Answer:
Caecal angiodysplasia.
Caecal angiodysplasias vary in size and appearances. About one third of all angiodysplasias in the colon are seen in the caecum. Here are some other examples of caecal angiodysplasias:
A Summer Bonus Question:

The summer is here - at least on our part of the globe. Hopefully You everyone have a lot of spare time. If You have too much time, why not try to solve this problem. Add two numbers between 0 and 9 to the figure above, so that the result is below 40. No plus or minus or other symbols, just two numbers between 0 and 9. It is exceptionally easy when You know the answer! So, how many of You can find the solution?
And here the answer:

It is so easy when You know it. Of course there are a lot of other correct answers, 39 8/9, 39 0/7 and so on. Congratulations to the two of Yoy who submitted the correct answer!
Correct answers and comments were emailed by
Radu Ionescu, Bucharest, Romania
Keng-Yu Chuang, Philadelphia, PA, USA
U. Cuartas, Augusta, GA, USA
gamaltohamy, Jubail, Saudiarabia
fahri akyüz, Izmit, turkey
Salvatore Della Ducata, Gallipoli, Italy
Amrani Khalil, Constantine, Algeria
stefania, Brasilia, Brasil
sanjeev tummala, Boston, MA- USA
Jarek Basaj, Warszawa, Poland
Björn Lindkvist, Gothenburg, Sweden
PARABOLI SILVA, Marcio Luiz, SAO JOSE DO RIO PRETO-SP- BRAZIL
Dr Ram Prakash Galwa, Chandigarh, India
kelly whitley, rapid city, sd
Dr.ARBER VELIU, Prishtina, KOSOVO
Klaudia Niepsuj, gliwice, Poland
Anastasios Koulaouzidis, Liverpool, UK
Lavrentios Papalavrentios, Thessaloniki, Greece
ergün yıldız, Sakarya, Turkey
teoman parmaksızoğlu, Kocaeli, Turkey
Andrew, Perth, Australia
LCM, China
TAHI RIAD, ALGIERS, ALGERIA
Md.Ibrarullah, Bhubaneswar, India/Orissa
mehmet, Ankara, Türkiye
Christa, Albany, NY, USA
Abdon Guerra, San Antonio, 5 region
Dr.Irina Ivanova, Varna, Bulgaria
SHARAF KARIM, NAESTVED, DENMARK
Tomislav Brkic, MD, Zagreb, Croatia
Anna Zapp, Anna Maria Island, Florida, USA
gamaltohamy, Jubail, Saudiarabia
Juris Pokrotnieks, Riga, Latvia
Claudia Iacobescu, Bucharest, Romania
wanda, Atlanta, USA/ Ga
Esta Skinn, Houston, Texas, USA
Virendra Parikh,MD, Fort Wayne, USA Indiana
Radu Ionescu, Bucharest, Romania
Comments:
Angiodysplasia of cecum.may produce chronic anemia and iron deficiency due to low grade blood loss.
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So, please email Your images here
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