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Melanosis coli

This patient, who is a college-educated health care professional, was probably popping laxatives because he thought he had age-related constipation. The laxative abuse led to the melanosis, which is nicely illustrated here. Unfortunately, what he really had was a large, obstructing colon adenocarcinoma, which had metastasized all over his abdomen by the time he came in for evaluation.

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Uploaded on November 24, 2009
Taken on November 19, 2009