Image Case 19

[eMedicine]

Title: eMedicine

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BACKGROUND A 35-year-old woman presents to the hospital because she had a sudden onset of intense rectal pain 1 day ago and is unable to sit. She had painless rectal bleeding weeks ago but did not seek medical attention. She also has been eating a low-fiber diet. What is the diagnosis and treatment? Hint The lesion is defined by its location below the dentate line. The procedure of choice is not exactly as shown in the photo. Follow-up care involves the mnemonic WASH without the A. Author: Ed Michelson, MD, and Peggy Wu, MD eMedicine Editor: John Leung, MD Yale University- Yale New Haven Hospital
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