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The Old Endoscopy Quiz (and Answer) of the Month
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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?
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, Piteň, Sweden
AISSAOUI LOTFI, ARAR, ARABIA SAUDIA
u cuartas, augusta, usa
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...