Anal Bleeds
This gentleman presented with bleeding via his anus and felt like there was some swelling protruding out of his anus everytime he opens his bowels. Initial examination revealed this:
Picture 1
Then on further investigations, we found this:
Picture 2.1
Picture 2.2
Care to guess what picture 1 and picture 2 is about? Picture 1 is a common occurrence which many take for granted when one presents with bleeding from the anus. True enough apart from losing blood, this condition is almost never a threat for life. However, assumptions can be lethal as a significant number of them with Picture 1 might have an associated problem or pathology as for example in this patient in Picture 2.
The take home message - never assume that all is fine.
February 25th, 2007 at 12:10 am
Oh, great! Its very interresting! You can not meet so vegetation every day!
February 26th, 2007 at 9:51 am
Aiyoo.. so low!
February 26th, 2007 at 1:31 pm
Well it is about 2-3cm above the dentate line. Picture 1 show the haemorrhoids that was known to the patient for a while. Picture 2 was a recent finding when someone decided to do a per rectal examination and found a mass in the rectum. This is a broad base polyp.
March 2nd, 2007 at 6:33 pm
Woww .. what’s tht in the pics? Same patient? Cancer?