Q:

A 62 year old man has had ano-rectal pain aggravated by defecation for 3 days. Rectal examination: purple, tender lump at the anal verge. Flexible aigmoidoscopy: normal rectal mucosa and hard feces. What is the diagnosis?

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A 62 year old man has had ano-rectal pain aggravated by defecation for 3 days. Rectal examination: purple, tender lump at the anal verge. Flexible aigmoidoscopy: normal rectal mucosa and hard feces. What is the diagnosis?


  1. Anal hematoma
  2. Anal fissure
  3. Rectal ca
  4. Diverticulitis
  5. Angiodysplasia

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The key is A. Anal hematoma.

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