Abstract
Postmenopausal bleeding is a common problem of varied etiology in the age group 50 –75. It is more likely to be caused by pathologic disease than is bleeding in younger women and must always be investigated. The most common cause is exogenous hormones1. Other causes are endometrial cancer, polyps and hyperplasia, cervical cancer and lesions, uterine tumours, ovarian cancer and estrogen secreting tumours in other parts of the body. Colonic cancer presenting as postmenopausal bleeding is unusual and very rare. The clinicians dealing with postmenopausal bleeding need to be aware of rare causes including colorectal cancer, especially in hysterectomised patients.
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