LAUSR

DIS 5.4.0 DTD YGAST60702 proof 24 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 Question: An 85-year-old woman presented with a 5-month history of bowel habit change and bloody stool. Initially, she visited a local hospital for help. Her symptoms were intermittent attacks, were relieved with medication, and had increased in severity in the last month. She had developed nausea and anorexia without vomiting. She also noted a 15-kg reduction in body weight over the last 5 months. She visited the outpatient department for further examination through colonoscopy, the results of which showed luminal obstruction with distal fold invagination to the proximal area in descending colon (Figure A). What was the diagnosis? Look on page 000 for the answer and see the Gastroenterology web site (www.gastrojournal.org) for more information on submitting your favorite image to Clinical Challenges and Images in GI.