ABSTRACT
A 62-year-old man has presented to the emergency department following a large rectal bleed. He has been experiencing intermittent episodes of bleeding over the last few months. He describes them as sometimes dark and sometimes bright red and not confined to bowel movements. There is no abdominal pain, change in bowel habit or loss of weight. He has no previous significant medical history. He does not take any regular medications and does not drink alcohol. There is no family medical history of significance. He works as a plumber.
