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Melanosis coli

Melanosis coli
Colonoscopic views of a patient with chronic senna ingestion. The dark pigmentation with a reticulated pattern of striations (alligator-skin) and spots is characteristic of melanosis coli.
Courtesy of James B McGee, MD.
Graphic 50472 Version 1.0
Normal sigmoid colon
Endoscopic appearance of the normal sigmoid colonic mucosa. The fine vasculature is easily visible, and the surface is shiny and smooth. The folds are of normal thickness.
Courtesy of James B McGee, MD.
Graphic 55563 Version 1.0

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