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Whitish colonic mucosa
  1. Joaquin Fisac-Vazquez1,
  2. Laura G-Pastrian2,3,
  3. Marta de Uribe-Viloria2,
  4. Maria Dolores Martin-Arranz1,3,4
  1. 1Department of Gastroenterology, Hospital Universitario La Paz, Madrid, Spain
  2. 2Department of Pathology, Hospital Universitario La Paz, Madrid, Spain
  3. 3Hospital de la Paz Institute for Health Research, Madrid, Spain
  4. 4School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
  1. Correspondence to Dr Joaquin Fisac-Vazquez, Department of Gastroenterology, Hospital Universitario La Paz, Madrid, Spain; jfisacvazquez{at}

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An asymptomatic 65-year-old woman was referred to our endoscopy unit after a screening positive faecal occult blood test. Colonoscopy revealed a pale, whitish colonic mucosa with yellowish specks (figure 1), congestive areas and foci of lymphoid follicular hyperplasia (figure 2). Sessile lesions (0-Is) with whitish speckling on their surface were also identified.

Figure 1

Whitish colonic mucosa with yellowish specks.

Figure 2

Congestive areas and foci of lymphoid follicular hyperplasia.

On histology, a dense infiltrate of foamy macrophages was …

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  • Contributors JF-V is the guarantor. JF-V performed the endoscopy and mucosal assessment as well as the initial drafting of the article and its subsequent revision. LG-P and MdU-V performed the anatomopathological analysis of the sample and the specific drafting of that part of the text and its subsequent revision. MDM-A collaborated with the drafting of the text and its subsequent correction.

  • 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 MDM-A has participated as a consultant or speaker, researcher in clinical trials or received funding for research training courses through my research service: Abbvie, Pfizer, Takeda, Janssen, Tillots Pharma, Galápagos, Lilly, Olympus, Remsima, MSD, Ferring, Sandoz, Hospira.

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