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

Case report Gastrointestinal hemorrhage Hemangioma Phlebolith Rectal bleeding Selective embolization Vascular malformation

Journal

World journal of gastrointestinal surgery
ISSN: 1948-9366
Titre abrégé: World J Gastrointest Surg
Pays: United States
ID NLM: 101532473

Informations de publication

Date de publication:
27 Aug 2024
Historique:
received: 05 05 2024
revised: 03 06 2024
accepted: 21 06 2024
medline: 2 9 2024
pubmed: 2 9 2024
entrez: 2 9 2024
Statut: ppublish

Résumé

Anorectal hemangioma is a rare and frequently misdiagnosed cause of lower gastrointestinal (GI) bleeding. Here, we present a minimally invasive therapy with selective embolization. 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. Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

Sections du résumé

BACKGROUND 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 METHODS
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 CONCLUSIONS
Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

Identifiants

pubmed: 39220052
doi: 10.4240/wjgs.v16.i8.2735
pmc: PMC11362948
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

2735-2741

Informations de copyright

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Auteurs

Barbora Pospisilova (B)

Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic. pospisilovab@nemfm.cz.

Jaromir Frydrych (J)

Department of Radiodiagnostic, Hospital in Jablonec nad Nisou, Jablonec nad Nisou 46601, Czech Republic.

Antonin Krajina (A)

Department of Radiology, University Hospital Hradec Kralove, Hradec Kralove 50005, Czech Republic.

Julius Örhalmi (J)

Department of Surgery, Hospital Horovice, Horovice 26831, Czech Republic.

Ivana M Kajzrlikova (IM)

Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic.

Petr Vitek (P)

Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic.
Faculty of Medicine, University of Ostrava, Ostrava 70300, Czech Republic.

Classifications MeSH