RIF/RLQ pain; dark red blood in stool.

Waiting on the result of a second biopsy from a colonoscopy.
I am male, aged 53, with a history of melanoma with no recurences for nearly thirty years; Excision and graft on the right calf - Block dissection of the right inguinal lymph nodes.
Over the past 3 years I have had recurrent pain in the RIF/RLQ and have passed dark red blood in my stool on several occasions.
US was negative for gallstones.
Abdominal CT with oral and IV contrast. Nothing sinister showed up.
Colonoscopy and gastroscopy. Nothing sinister showed up. No h. pylori.
PET scan - negative.
SBFT - negative for Crohn's.
My oncologist has mentioned a diverticulum but is not really concerned.
My family doctor mentioned a Meckel's Diverticulum.
General surgeon has performed another colonoscopy: "Mild rectal petechial haemorrages - ? colitis - biopsy taken"
I'm waiting on the result of the biopsy.

If it is ulcerative colitis, how would that explain the RIF/RLQ pain?

[Kevin Pho, MD]

The testing you have had would exclude many of the potential GI causes.  

Ulcerative colitis typically presents with left-sided pain.  It would be atypical for it to present on the right side.  

With the negative testing, you can further evaluate the small bowel with a capsule endoscopy or push enteroscopy which may reveal the source of the bleeding.  

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[bellyman]

Atypical... the story of my life :)

I'll post biopsy result when I get it