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Video Endoscopic Sequence 1 of 7.
Image and Video clip of a rectal adenocarcinoma and Melanosis Coli.
A 57-year-old female, who for five years had been bleeding (stool with residual pink liquid), despite having been under medical control in a public institution, she never underwent a colonoscopy.
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Video Endoscopic Sequence 2 of 7.
Image and Video clip of a rectal adenocarcinoma and Melanosis Coli.
Part distal to the anus of the tumor, observing mucosa with melanosis coli. |
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Video Endoscopic Sequence 3 of 7.
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Video Endoscopic Sequence 4 of 7.
Sigmoid colon with pigmentation typical of melanosis coli. |
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Video Endoscopic Sequence 5 of 7.
Cecum
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Video Endoscopic Sequence 6 of 7.
Part distal of the of the tumor to the anus, observing mucosa with melanosis coli.
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Video Endoscopic Sequence 7 of 7.
Another image and video of Rectal Neoplasia with melanosis coli.
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Video Endoscopic Sequence 1 of 6.
Image and video of rectal varices and Adenocarcinoma of the ascending colon
A 72-year-old female,t who presented with anemia Hb 8 mg / dl, had been treated in another clinic performing an upper endoscopy finding esophageal varices and in an abdominal ultrasonography mass in the ascending colon.
A colonoscopy is performed, finding varices of the rectum and cancer in the ascending colon.
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Video Endoscopic Sequence 2 of 6.
Image and video of rectal varices
Rectal varices represent portal systemic collaterals that are manifested as discrete dilated submucosal veins and constitute a pathway for portal venous flow between the superior rectal veins of the inferior mesenteric system and the middle inferior rectal veins of the iliac system.
Rectal varices are considered to occur infrequently, however, several articles have reported that they occur with high frequency in patients with hepatic abnormalities.
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Video Endoscopic Sequence 3 of 6.
Cancer of the ascending colon
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Video Endoscopic Sequence 4 of 6.
Image and video of ulcerated adenocarcinoma of the ascending colon |
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Video Endoscopic Sequence 5 of 6.
Image and video of ulcerated adenocarcinoma of the ascending colon
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Video Endoscopic Sequence 6 of 6.
Returning from the ascending colon see again the rectal varices and a polyp of adenomatous aspect.
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Video Endoscopic Sequence 1 of 5.
Image and Video clip of a cecum adenocarcinoma
A 69-year old, female who presented with anemia Hb 7mg / dl, had initially been under treatment with a nephrologist with erythroproyectin.
A colonoscopy is performed finding this neoplasm presented in these images and video clips.
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Video Endoscopic Sequence 2 of 5.
Image and Video clip of a cecum adenocarcinoma
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Video Endoscopic Sequence 3 of 5.
Cecum Adenocarcinoma
One diverticula is seen
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Video Endoscopic Sequence 4 of 5.
Image and Video clip of a cecum adenocarcinoma |
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Video Endoscopic Sequence 5 of 5.
Image and Video clip of a cecum adenocarcinoma
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Video Endoscopic Sequence 1 of 2.
Colonoscopy of a Cancer of the Sigmoid Colon
This a 49 year-old female, who has abdominal pain in the left iliac fossa, and weight loss of 30 pounds, tenderness mass is seen in that area, the patient comes to our office with an abdominal ultrasound prcaticed in another clinic which reveals a mass, which is confirmed by colonoscopy,
For more endoscopic details download the video clips by
clicking on the endoscopic images, wait to be downloaded
complete then press Alt and Enter; thus you can observe
the video in full screen.
All endoscopic images shown in this Atlas contain
video clips.
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Video Endoscopic Sequence 2 of 2.
Colonoscopy of a Cancer of the Sigmoid Colon
There is a narrowness of the tumor which impedes the advance of the colonoscope
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Video Endoscopic Sequence 1 of 4.
Colonoscopy of a Rectal Adenocarcinoma
This is an 84 year-old male, that presented with rectal discharge, at digital examination this firm, hard mass was palpated.
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Video Endoscopic Sequence 2 of 4.
Colonoscopy of Rectal Cancer
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Video Endoscopic Sequence 3 of 4.
Endoscopic Image of Adenocarcinoma of the Rectum
Retroflexed view
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Video Endoscopic Sequence 4 of 4.
Colonoscopy of a Rectal Adenocarcinoma
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Secuencia Video Endoscópica 1 de 6.
Colonoscopy Ascending Colon Adenocarcinoma
67 year-old female, who presented with abdominal pain in the right iliac fossa and weight loss of 20 libs, anemia 7.5 Hb / dl . Colonoscopy was indicated 6 months previously, Colonoscopy revealed ulcerated ascending colon mass bordering with the cecum, observing the ileocecal valve as well as the hole of the appendix uninfiltrated, the endoscope is advanced to the terminal ileum.
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Secuencia Video Endoscópica 2 de 6.
Image and video of the ascending colon adenocarcinoma
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Secuencia Video Endoscópica 3 de 6.
Colonoscopy of Ascending Colon Adenocarcinoma
The tumor is in the limit with the cecum, the ileocecal valve as well as the hole of the appendix are not infiltrated.
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Video Endoscopic Sequence 4 of 6.
The colonoscope is advanced to the terminal ileum
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Video Endoscopic Sequence 5 of 6.
Endoscopic Image of Adenocarcinoma ulcerated of ascending colon.
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Video Endoscopic Sequence 6 of 6.
Colonoscopy of Ascending Colon Cancer
The respective biopsies are obtained.
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Video Endoscopic Sequence 1 of 8.
Colonoscopy of syncronic polyps and colon cancer of the transverse.
This is a 57 year-old Male, who has rectal bleeding since 4 months.
Barium enema practiced in a public hospital was negative.
At colonoscopy there are three polyps two of them are presented in this endoscopic sequence, and one is quite small of the transverse colon, three underwent polypectomy.
In the transverse colon there are a colon adenocarcinoma which obstructs the lumen by 98% it was unable to advance the colonoscope.
In this video clip and the image shows a synchronous polyp of the sigmoid.
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Video Endoscopic Sequence 2 of 8.
Synchronous ulcerated polyp of the descending colon, which underwent polypectomy.
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Video Endoscopic Sequence 3 of 8.
Colonoscopy Adenocarcinoma of the transverse colon with synchronous polyps
There are tumor stenosis which impedes the advance of the colonoscope.
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Video Endoscopic Sequence 4 of 8.
Three years later a follow up colonoscopy is performed finding three polyps one of them is an ulcerated polyp that is detected in the pectinate line, in spite of underwere two colonoscopies after his surgery at the public hospital where he was operated on for his neoplasia.
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Video Endoscopic Sequence 5 of 8.
The polyp is seen, retroflexed image
There is image of chicken skin |
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Video Endoscopic Sequence 6 of 8.
The scar of the anastomosis is found. Surgery was performed three years ago.
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Video Endoscopic Sequence 7 of 8.
An endoscopic polypectomy is performed, the histopathology proves to be an ulcerated tubulo-villous adenoma. |
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Video Endoscopic Sequence 8 of 8.
The pedicle is cauterized
Very carefully cauterization is carried out since in this area it can be painful due to the anal epithelium.
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Video Endoscopic Sequence 1 of 9.
Endoscopic Image of Adenocarcinoma of the Transverse Colon.
Croissant like mass that was found in a colon screening
check up.
A 77 year-old female, came to our unit due to epigastric
pain. An upper endoscopy revealed two pre-piloric ulcers
and reflux esophagitis grade III.
after the upper endoscopy was performed We
recommended a full colonoscopy as a medical check up
finding this mass.
12 years after the surgery the patient dies of breast cancer
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Video Endoscopic Sequence 2 of 9.
Endoscopy of Transverse Colon Adenocarcinoma
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Video Sequence 3 of 9.
The tumor can be palpated through intestinal wall.
Download the video clip by clicking on the surgical image.
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Endoscopic Sequence 4 of 9.
The tumor can be seen translucent through intestinal wall.
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Endoscopic Sequence 5 of 9.
Another macroscopic view
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Endoscopic Sequence 6 of 9.
Another view of same case as above.
Macroscopic view of this Duke´s A colon carcinoma.
Villous adenoma with atypia was the first diagnostic of
the first 10 biopsies taken by colonoscopy.
Macroscopic view of the case presented,
adenocarcinoma tubulovillous well-differentied.
Cross section invades the submucosa but there is no
invasion to the muscularis propia, neither lymph node
metastasis. (Dukes´class A).
The prognosis after resection is excellent because of the
minimal invasive capacity.
Histopathology of well-differentiated carcinoma, Some
tumors have the ability to secrete large amounts of
mucus into a malignant gland.
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Video Endoscopic Sequence 7 of 9.
The ileotransverse specimen.
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Video Endoscopic Sequence 8 of 9.
Statatus Post Surgical.
Endoscopic follow up one year after the surgery.
The anastomosis ileo-Transverse is observed.
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Video Endoscopic Sequence 9 of 9.
The image and the video display the ileum after the
ileo-transverse anastomosis.
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Endoscopic Image of Adenocarcinoma of the Cecum.
A 31 year-old male who had a 3 x 2 cm. rectal
adenomatous polyp removed 40 months before.
At that
time, we recommended a full colonoscopy, but the patient
declined it.
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Endoscopic Image of Adenocarcinoma of the Cecum
You can observe a ulcerated and nearly circumferential
carcinoma of the cecum. The video clip shows liquid
feces moving through the ileocecal valve.
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Adenocarcinoma of the Ascending Colon.
A 95 year-old female with a carcinoma of the ascending
colon, near the cecum.
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Endoscopic Image of Adenocarcinoma of the Cecum
Ulcerated Carcinoma of the cecum that caused severe
anemia.
A large exophytic tumor mass is sharply delineated from
the surrounding normal smooth pink colonic mucosa,
areas of reddening on the surface of the tumor represent
superficial necrosis as well as ulceration in the tumor.
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Video Endoscopic Sequence 1 of 3.
Colonoscopy of Cecum Adenocarcinoma
This a 57 year-old female, who was referred to our unit by her gynecologist because found in a vaginal ultrasound an image corresponding to a mass of the cecum.
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Video Endoscopic Sequence 2 of 3.
Another image and video clip of the adenocarcinoma of the cecum.
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Video Endoscopic Sequence 3 of 3.
Endoscopic Image of Cecum Adenocarcinoma
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Video Endoscopic Sequence 1 of 13.
Endoscopic Resection of Rectal Cancer
A patient of 79 year-old male, who had been with enterorragia of three months of evolution, 7 years previous we had performed an upper endoscopy and was recommended a colonoscopy but never return, at that same time we performed rubber band ligation for internal hemorrhoids
Upon rectal palpation a small mass with cancer texture is palpated, which is inserted into the pectine line and was prepared for colonoscopy the next day this endoscopic resection is performed and without previous biospies. |
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Video Endoscopic Sequence 2 of 13.
The ulcerated mass is observed, image in retroflexion, the histopathological study reveals to be an adenocarcinoma.
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Video Endoscopic Sequence 3 of 13.
Endoscopic resection is initiated by infiltrating Saline solution.
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Video Endoscopic Sequence 4 of 13.
With a diathermy loop, the tumor is resected in fragments
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Video Endoscopic Sequence 5 of 13.
A large fragment is extracted
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Video Endoscopic Sequence 6 of 13.
Proceed with the procedure this time more fragments have been resected.
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Video Endoscopic Sequence 7 of 13.
More fragments of the tumor are resected. |
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Video Endoscopic Sequence 8 of 13.
Despite having resected several large fragments, part of the mass is seen.
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Video Endoscopic Sequence 9 of 13.
Endoscopic Rectal Cancer Resection
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Video Endoscopic Sequence 10 of 13.
Se extraen varios fragmentos para enviarlos a su estudio histopatológico.
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Video Endoscopic Sequence 11 of 13.
The procedure is finished, the remnant fragments are cauterized.
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Video Endoscopic Sequence 12 of 13.
The remnant fragments are cauterized and this cancer is resected completely
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Video Endoscopic Sequence 13 of 13.
Final status of endoscopic rectal cancer resection
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