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The Old Endoscopy Quiz (and Answer) of the Month
November 2002

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the Quiz Page

Question:

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This young lady had suffered from a slight diarrhea for some months. A rigid sigmoideoscopy was performed, the finding was normal and microscopic examination of the biopsies showed normal rectal mucosa. One week later a colonoscopy was done, as the normal sigmoideoscopy finding did not explain the cause of the diarrhea. This is an endoscopic view from the rectum. What is this finding?

Answer

    Scars after rectal biopsies

    The biopsy forceps formerly - and rarely nowadays? - used in order to take biopsies during rigid sigmoideoscopy are quite large and taking a biopsy can cause a small lesion visible for some time.


Biopsy forceps formerly used to take rectal biopsies

Answers and comments were emailed by

    Claudia Ludwig, Vienna, Austria
    Antonio Sia, Patrocinio(MG), Brazil
    bhagwan, Bombay, INDIA
    Elie Choueiry, Beirut, Lebanon
    fahri akyuz, batman, turkey
    Zahreddine Radwan, Beirut, Lebanon
    Murat Toruner, Ankara, Turkey
    wagdy, Dubai, UAE
    kubilay cinar, Ankara Turkey
    virendra parikh, fort wayne, IN, USA
    luisguillermoguerrero, Bogota, Colombia
    Massimo Picasso, Sanremo, Italy
    Fred Stam, Haarlem, Holland
    AISSAOUI LOTFI, ARAR, SAUDIA ARABIA
    Abdón Guerra F, San Antonio, CHILE
    Christian Nielsen, Vasa, Finland
    PARABOLI SILVA, Marcio Luiz, CAMPO MOURAO-PARANA, BRAZIL
    INkoo Kang, Seoul, South Korea
    Ilker Abci, Edirne, Turkey
    Yaşar Nazlıgül, Ankara, Türkiye (Turkey)
    Lenzini Giovanni, Parma, Italy
    Çetin KARACA, İstanbul, Turkey
    junwang, Jinan, China. Hi, our daughter visited Jinan in October and she has a lot of nice memories from there. Nice to hear from You!
    lotfi aissaoui, Arar, Tunisia
    KE Neergaard, Nijmegen, The Netherlands
    Rogério Godinho, Almada, Portugal
    Ulrike Hurler, Heidenheim, Germany

Beirut, Lebanon
    Dr Wissam Wadih Chalhoub, Beirut, Lebanon
    Dario Gambaccini, Livorno, Italy

    Comments:

    Thank you very much for your excellent endoscopy pictures and videoclips, which I found most useful in preparing a lecture today.

    Inflamatory bowel disease . It seems that it is a Crohn's disease

    IATROGENIC LESION IN THE RECTAL MUCOSA AFTER BIOPSIES DONE 1 WEEK EARLIER

    Traumatic ulcerations due to the previously perfomed rigid rectosigmoidoscopy

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