A 92-year-old man with chronic obstructive pulmonary disease and gastroesophageal reflux disease presented to the emergency department (ED) with hematochezia. He lived in an assisted-living community and enjoyed walking outside and spending time with his grandchildren. Findings of the patient’s last colonoscopy at age 75 years were normal, but a colonoscopy performed at the time of ED presentation revealed sigmoid diverticulosis as the suspected bleeding source. Two large polyps (1.2 and 1.5 cm) in the proximal colon were left in situ. The bleeding resolved spontaneously, and the patient was discharged home.
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Sampath K, Saini SD, Calderwood AH. Elective Colonoscopy in Older Adults—Minimizing Risks: A Teachable Moment. JAMA Intern Med. 2019;179(3):425–426. doi:10.1001/jamainternmed.2018.7666
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