An unusual polyp: a pedunculated leiomyoma of the sigmoid colon

Abstract

A 56-year-old man presented for evaluation of scant rectal bleeding that occurred with bowel movements. He denied weight loss, fevers, fatigue, or alarm symptoms, and reported no family history of polyps, colorectal cancer, or intestinal disorders. His past medical history and physical examination including a digital rectal examination were unremarkable. Colonoscopy demonstrated a single 1.2 cm pedunculated polyp within the lumen of the sigmoid colon ([Fig. 1]). The polyp, which was glistening, smooth, round, and on a minute stalk, was removed in its entirety by hot-snare polypectomy ([Fig. 2]).