This patient was referred for removal of 3 cecal lesions detected on screening colonoscopy.

This video highlights the subtlety and multiplicity of serrated lesions in the right colon. Furthermore, they are known to be difficult to resect due to their indistinct borders and flat nature (Pohl H et al, Gastro, 2013). Saline injection with dilute dye can be helpful in the identification of neoplastic borders and facilitate safe resection.