the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: March 2004

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The Old Endoscopy Quiz (and Answer) of the Month
March 2004

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Question:

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This middleaged lady came to a colonoscopy because of symptoms resembling functional bowel disorders. This is the finding in transversal part of her colon. She had not suffered from any sign of intestinal bleeding. What are these blue spots - and should anything be done about them?

Answer

    Venectasiae, venous angiodysplasiaes in the colon

    This is a common and insignificant finding. No treatment is necessery.

Correct answers and comments were emailed by

    Christos Zavos, Thessaloniki, Greece
    Virendra Parikh,MD, Fort Wayne, USA, Indiana
    Sheikh Anwar Abdullah, HUKM, KL, Malaysia
    Dr.ARBER F. VELIU, Prishtina, KOSOVA
    luisguillermoguerrero, Bogota, Colombia
    Salvatore Della Ducata, Gallipoli, Italy
    Christian Nielsen, Uppsala, Sweden
    Judith Barbiaux, Ft. Hood, TX USA
    Rashid, Banbury, UK
    KJ Niepsuj, Bytom, Poland
    Jun Ruiz, Metro-Manila, Philippines
    ALTIN CEKODHIMA, TIRANA, ALBANIA
    Saleem Qader, Lund, Sweden
    Dr. Bhagwan Singh Thakur, MUMBAI, INDIA
    PARABOLI SILVA, Marcio Luiz, SAO JOSE DO RIO PRETO-SP-, BRAZIL
    Fuad Pasic, Tuzla, Bosnia
    Ollevier, Brussels, Belgium
    Luis Carrillo, Quito, Ecuador
    Dr.CSBR.Prasad, Riyadh, CP, Saudi Arabia
    fahri akyuz, izmit, turkey
    francesco di stefano, Sant'Agata li Battiati, Italy
    Ferko Peter, Velke Kapusany, Slovakia
    Kim Cooper, Virginia Beach, USA/Virginia
    Kelly Buss, Hickory Hills, IL, USA
    Massimo Picasso, Sanremo, Italy
    Hurler, Ulrike, Heidenheim, Germany
    massimo picasso, Sanremo, Italy
    shirley moore, kenosha, wi
    EMAD FAYYAD, DUBAI, UNITED ARAB EMIRATES
    Stefan Spinnell, Piteå, Sweden
    AISSAOUI LOTFI, ARAR, ARABIA SAUDIA
    u cuartas, augusta, usa

Comments:

    Venous Angiodysplasias in the transverse Colon.One type of Hemangioma in the Colon.No need for endoscopic intervention.

    Venectasias, harmless venous dilatations in the wall of the colon. No treatment needed.

    Vascular ectasia, angiodysplasia. If no clinical history of GI bleeding, no treatment.

    Venectasia, which are dilated veins. Usually they do not have any clinical significance. Thus, treatment is not necessary.

    Solitar varices,no need for any treatment.

    Cavernous angioma. Nothing should be done.

    The possibilities are---Angiodysplasia, Blue rubber bleb nevus syndrome and Venous lakes. As there is no hiostory of GI bleeding and given the age of the patient and size of the lesion, I favour, Venous lakes.

    So "A beloved child has many names". Venectasiaes, venous angiodysplasias, vascular ectasiaes, cavernous angiomas, venous lakes, solitar varices...