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#24

Figure it out fridays 

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A woman in her 50s was hospitalized for a painful anal mass. She had a history of hypertension and depression and was receiving omeprazole and paroxetine. The mass had appeared 2 days before presentation and was associated with vomiting. Additionally, the patient had not passed stools or had intestinal gas for 2 days. On physical examination, the mass was exteriorized through the anal canal. It was covered by hypoxemic rectal mucosa, but no digestive lumen could be identified inside the mass.

 

What is the most like diagnosis?

 

A. Hedrocele

B. Rectal prolapse

C. Anal neoplasm

D. External hemorrhoids

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