Colorectal Case 24
Dr. Shiaw-Hooi Ho
Associate Professor of Medicine at the Department of Medicine,
Universiti Malaya, Malaysia
Disclaimer:
NBI™ technology is not intended to replace histopathological sampling as a means of diagnosis.
The positions and statements made herein by Dr. Shiaw-Hooi Ho are based on Dr. Shiaw-Hooi Ho’s experiences, thoughts and opinions. As with any product, results may vary, and the techniques, instruments, and settings can vary from facility to facility. The content hereof should not be considered as a substitute for carefully reading all applicable labeling, including the Instructions for Use. Please thoroughly review the relevant user manual(s) for instructions, risks, warnings, and cautions. Techniques, instruments, and setting can vary from facility to facility. It is the clinician’s decision and responsibility in each clinical situation to decide which products, modes, medications, applications, and settings to use.
The EVIS X1™ endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. Complete indications, contraindications, warnings, and cautions are available in the Instructions for Use
Scope: CF-HQ190L
Organ: Rectum
Patient information: 52 years old, Male
Medical history: Intermittent painless per rectal bleeding past 2 years; known ocular myasthenia gravis
1. WLI Observation
2. WLI Observation
3. NBI™ technology Observation
Overall Comment
This patient was referred to colorectal surgical team for endoanal ultrasound examination and further management. He underwent trans-anal resection and further hemorrhoidectomy. The histology revealed hemorrhoid with stromal hemorrhage. There was no other abnormal tissue seen. This case illustrated an atypical presentation of an internal hemorrhoid with stromal hemorrhage mimicking a submucosal tumor. Other differential could be thrombosed hemorrhoid but there was no complaint of pain in this patient.
* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer
Prof. Han-Mo Chiu Case 25: Crohn’s Ileo-colitis
Dr. Shiaw-Hooi Ho
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