Abstract
A patient review revealed a history of recent occasional PR bleeding typically manifesting as spotting on toilet paper often accompanied by constipation. He had known diverticular disease, haemorrhoids and a previous gastric ulcer. He was also on rivaroxaban for atrial fibrillation and had a 30 pack years history of smoking cigarettes. He had never had a colonoscopy.
Highlights
A previously independent 80-year-old male had a significant single bright-red rectal bleed three day following a total hip replacement.A patient review revealed a history of recent occasional PR bleeding typically manifesting as spotting on toilet paper often accompanied by constipation
A rectal examination was conducted which revealed a small mass at the anal verge which was diagnosed originally as a thrombosed external haemorrhoid and once the patent had stabilised after two units of blood he was discharged with a plan for outpatient colonoscopy within 3 months
One month later the patient presented to the emergency department with enlarged groin lymph nodes and ongoing PR bleeding
Summary
A previously independent 80-year-old male had a significant single bright-red rectal bleed three day following a total hip replacement.A patient review revealed a history of recent occasional PR bleeding typically manifesting as spotting on toilet paper often accompanied by constipation. A Fatal Case of Primary Anal Melanoma in a Patient with Diagnosed Haemorrhoids *Corresponding author: Ross John Spero Calopedos, Department of General Surgery, Wyong Hospital, Australia, E-mail: r.calopedos@gmail.com
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