Authors: LISI Daniele,: BIANCANIELLO Francesca, Rome, Italy

Even though abdominal ultrasound does not have a high sensitivity for intestinal pathology (you need to have a lesion of significant size) why not give it a try. You will be surprised at the possibilities

We present three cases of patients referred for abdominal ultrasound, two for renal colic (patients 1 and 2) and the third for epigastric pain due to NSAID use for back pain. In all cases, ultrasound incidentally identified a suspected colonic polyp, which was confirmed during a subsequent colonoscopy.

Patient 1: Male, 53 years old. A pedunculated polyp was identified in the sigmoid colon and was endoscopically resected en bloc (EMR). The histological report described a tubular villous adenoma with high grade dysplasia (HGD).

Patient 2: Male, 63 years old. A 40 mm pedunculated polyp was found in the descending colon. Endoscopic en bloc resection with endoloop was performed. The histological report described a tubular villous adenoma with focal high grade dysplasia (LGD).

Patient 3: Male, 72 years old. A 25 mm semipedunculated polyp was identified in the cecum. It was resected endoscopically en bloc using EMR. The histology report described a LGD villous tubular adenoma with focal HGD and intramucosal adenocarcinoma.