Image Challenge #5

A 98-year-old woman presented with rectal bleeding. She has been suffering for more than a decade from iron deficiency anaemia.  The patient has received multiple blood transfusions. A colonoscopy showed this endoscopic finding.

 What is the most likely diagnosis?

Presented by Dr. Mahmood Alkindy, MBChB, DM, FIBMS, General Medicine, DAdvMed (GIT&Hep), University of Kufa, College of Medicine, Najaf, Iraq.

Answer: Colonic telangiectasia