Unsuspected Colonic Hemorrhage Found on Screening Colonoscopy

Question: A 68-year-old man with hypertension, multiple sclerosis, and neurogenic bladder underwent an inpatient bowel cleansing owing to immobility for a routine screening colonoscopy. The patient was asymptomatic, had no complaints, and no other active medical issues at the time of preparation and procedure. He denied any nausea, vomiting, abdominal pain, changes in bowel movements, bright red blood per rectum, and melena. The patient denied recent changes in his weight. He denied any family history of inflammatory bowel disease, colon cancer, and other gastrointestinal malignancies.

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