78-year-old Man in Surgery — 78yo Man | General Surgery | SMLE Q#933

SMLE Question #933

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 78-year-old man has several episodes of painless maroon-colored rectal bleeding over 2 days. He is not taking anticoagulants. Abdominal examination reveals a firm, ill-defined mass in the right iliac fossa. Digital rectal examination shows blood but no palpable rectal mass. He is clinically stable. What is the most appropriate next diagnostic investigation?

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