Diffuse cavernous haemangioma of the rectum and anus: an unusual case of rectal bleeding with challenging management

Ugolini, Giampaolo; Rosati, Giancarlo; Montroni, Isacco; Manaresi, A; Blume, J.; Taffurelli, Mario

doi:10.1136/bcr.02.2009.1545

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…1 The diagnosis is often delayed and many patients will have been investigated and treated for other causes of rectal bleeding. [1][2][3][4] It most frequently presents in children and young adults, [4][5][6][7] with symptoms of recurrent painless rectal bleeding. 5,8 Colonoscopy, magnetic resonance imaging (MRI) and computed tomography (CT) are all accepted investigations.…”

Section: Introductionmentioning

confidence: 99%

Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum

Cotzias

Rehman

Zadeh

et al. 2020

annals

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Diffuse cavernous haemangioma is a rare disease of the rectum. It usually presents with a history of rectal bleeding in children and young adults. When conservative methods fail to control bleeding, traditionally resection is recommended. A 50-year-old man presented with per rectal bleeding and was diagnosed with diffuse cavernous haemangioma of the sigmoid and rectum extending up to 40 cm in the left colon through endoscopy, magnetic resonance imaging and computed tomography. The diagnosis was confirmed by biopsy. This patient was successful managed conservatively with tranexamic acid as needed, avoiding the need for resection.

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Section: Introductionmentioning

confidence: 99%

Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum

Cotzias

Rehman

Zadeh

et al. 2020

annals

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Rectal Polyps and Other Neoplasms

Dunn

Kelli²

2018

Fundamentals of Anorectal Surgery

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Diffuse hemolymphangioma of the rectum: A report of a rare case

Chen

Cui²,

Ji³

et al. 2013

WJG

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Intestinal hemolymphangioma is a rare vascular and lymphatic malformation and is manifested as anaemia and recurrent alimentary tract hemorrhage. Few cases of hemolymphangioma occurring in small intestine, spleen, esophagus and other organs have been reported. We herein report a case of a 37-year-old man with severe rectal bleeding. Digital examination revealed nodular mucosa. No rectal mass was palpated, but bleeding in the ampulla was detected. Colonoscopy revealed an extensive hypervascular submucosal lesion arising from the rectosigmoid junction colon to the distal edge of the anus. Endoscopic ultrasonography demonstrated an extensive anechoic mass with clear edge. Magnetic resonance imaging (MRI) showed a significant thickness of the rectal wall, extending to the distal edge of the anus, with a narrowing lumen. A sphincter-saving rectal surgery was performed. Due to a lack of knowledge of the clinical, endoscopic and radiological features, preoperative recognition of hemolymphangioma is not easy. Computed tomography and MRI are helpful in confirming the diagnosis, and defining the extent and invasion of the lesion. For the low malignant potential tumors, a sphincter-saving rectal surgery is recommended after a full evaluation of the tumor.

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Diffuse cavernous haemangioma of the rectum and anus: an unusual case of rectal bleeding with challenging management

Cited by 3 publications

References 13 publications

Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum

Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum

Rectal Polyps and Other Neoplasms

Diffuse hemolymphangioma of the rectum: A report of a rare case

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