Cholesterol crystal embolism is a serious complication of atherosclerosis r
esponsible for renal, cutaneous and less often digestive manifestations. We
report a case of cholesterol crystal embolization in an adenomatous coloni
c polyp with foci of adenocarcinoma in a patient with an abdominal aortic a
neurysm taking anticoagulant therapy. This case shows that cholesterol crys
tal embolization may be diagnosed by microscopic examination of a colonic p
olyp.