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Pedunculated polyp of the ileum protruding from a large diverticulum
  1. Yugo Iwaya1,
  2. Corwyn Rowsell2,
  3. Teodor Grantcharov3,
  4. Norman E Marcon1
  1. 1Division of Gastroenterology, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  2. 2Division of Laboratory Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  3. 3Division of General Surgery, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to Dr Yugo Iwaya, Division of Gastroenterology, St Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8, Canada; yiwaya{at}shinshu-u.ac.jp

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Introduction

A 52-year-old woman presented with iron deficiency anaemia and postprandial right lower quadrant pain. Abdominal examination was unremarkable and laboratory results showed mild anaemia (haemoglobin 11.3 g/dL). Upper and lower endoscopies did not reveal any source of bleeding. Video capsule endoscopy was performed which showed a large polypoid lesion in the mid-ileum (figure 1). Abdominal contrast enhanced CT demonstrated a heterogeneously enhancing pedunculated polyp measuring approximately 6 cm (figure 2). Retrograde double-balloon enteroscopy was performed which revealed a large pedunculated polyp with hyperplastic-like mucosa protruding …

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