Cavernous Hemangioma: A Rare Cause of Massive Lower Gastrointestinal Bleeding

Cavernous haemangiomas of the rectosigmoid colon are rare benign vascular neoplasms of the GI tract. Patients usually present at a younger age with various degree of rectal bleeding ranging from mild painless episodic bleeding to life-threatening hemorrhage. High index of suspicion and early diagnosis is crucial to avoid unnecessary biopsy and inappropriate management. We report a case of a 26-year-old male patient with a long history of recurrent rectal bleeding. Contrast-enhanced CT scan of the abdomen and pelvis and MRI confirmed the diagnosis of cavernous hemangioma. Further surgical treatment with rectosigmoid resection and colo-anal anastomosis represents the optimum path of management for our patient.

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A rectosigmoid haemangioma: A rare etiology of rectal bleeding

AlNuaimi

Abdulghaffar

AlMulla

et al. 2022

BJR|case reports

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Hemangioma capilar del yeyuno como causa de sangrado agudo: reporte de caso y revisión de la literatura

Gómez Zuleta,

Cardona Botero,

Trejos Naranjo

et al. 2024

Rev. colomb. Gastroenterol.

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El sangrado del intestino delgado es una causa poco frecuente de sangrado en el tracto gastrointestinal. La mayoría de casos son secundarios a angiodisplasias; sin embargo, rara vez se asocia a hemangiomas del intestino delgado, los cuales son una neoplasia vascular benigna que se diagnostica principalmente con cápsula endoscópica y enteroscopia asistida por balón en pacientes estables de forma preoperatoria. Hasta la fecha solo se había publicado un caso con inestabilidad hemodinámica al momento del diagnóstico. Se reporta el caso de una mujer de 21 años que debuta con sangrado agudo y choque hemorrágico secundario a hemangioma capilar del yeyuno, el cual fue diagnosticado mediante una enteroscopia intraoperatoria y manejado con resección quirúrgica de forma exitosa.

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Anorectal hemangioma, a rare cause of lower gastrointestinal bleeding, treated with selective embolization: A case report

Pospisilova,

Frydrych,

Krajina

et al. 2024

World J Gastrointest Surg

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BACKGROUND Anorectal hemangioma is a rare and frequently misdiagnosed cause of lower gastrointestinal (GI) bleeding. Here, we present a minimally invasive therapy with selective embolization. CASE SUMMARY A 21-year-old male patient experienced painless rectal bleeding since childhood and was treated for ulcerative colitis. Diagnostic studies later revealed specific characteristics for vascular lesions-anorectal hemangiomas. The severity of rectal bleeding caused symptomatic anemia and possible surgical treatment was associated with a high risk of fecal incontinence. Here, we present selective embolization, a minimally invasive therapeutic approach that is proven as an alternative therapeutic method of choice. The patient significantly improved temporarily and had a small ischemic ulcer, which healed with a control colonoscopy and developed no stenosis. CONCLUSION Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

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Cavernous Hemangioma: A Rare Cause of Massive Lower Gastrointestinal Bleeding

Abstract: Al-Tkrit et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 4 publications

References 16 publications

A rectosigmoid haemangioma: A rare etiology of rectal bleeding

A rectosigmoid haemangioma: A rare etiology of rectal bleeding

Hemangioma capilar del yeyuno como causa de sangrado agudo: reporte de caso y revisión de la literatura

Anorectal hemangioma, a rare cause of lower gastrointestinal bleeding, treated with selective embolization: A case report

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