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Editor’s quiz: GI snapshot
Unexpected finding on surveillance colonoscopy
  1. Julian Gertner1,
  2. Edward Seward1,
  3. Ruma Saraswati2
  1. 1 Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2 Histopathology, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Julian Gertner, Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK; juliangertner{at}gmail.com

https://doi.org/10.1136/gutjnl-2023-330981

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    Clinical presentation

    A 65-year-old woman had a positive Faecal Immunochemical Test (FIT) on a bowel cancer screening programme. Her medical history included migraines and hypercholesterolaemia. She had no allergies; she took a statin daily. She worked as a teacher, smoked five cigarettes per day and drank one glass of wine per week. At colonoscopy, there was polyposis including a 20 mm caecal polyp extending into the appendiceal orifice (figure 1). This was removed with cold snare, followed by soft coagulation. Histology showed tubulovillous …

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    Footnotes

    • Contributors JG collated and wrote the submission. ES performed the colonoscopies and obtained the endoscopic images. RS reported the histopathology and obtained histological images.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.