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

作　　者：Barbora Pospisilova Jaromir Frydrych Antonin Krajina JuliusÖrhalmi Ivana M Kajzrlikova Petr Vitek 

机构地区：[1]Department of Internal Medicine,Hospital in Frydek-Mistek,Frydek-Mistek 73801,Czech Republic [2]Department of Radiodiagnostic,Hospital in Jablonec nad Nisou,Jablonec nad Nisou 46601,Czech Republic [3]Department of Radiology,University Hospital Hradec Kralove,Hradec Kralove 50005,Czech Republic [4]Department of Surgery,Hospital Horovice,Horovice 26831,Czech Republic [5]Faculty of Medicine,University of Ostrava,Ostrava 70300,Czech Republic

出　　处：《World Journal of Gastrointestinal Surgery》2024年第8期2735-2741,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：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 asso-ciated with a high risk of fecal incontinence.Here,we present selective emboli-zation,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 deve-loped no stenosis.CONCLUSION Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

关 键 词：HEMANGIOMA Vascular malformation Gastrointestinal hemorrhage Rectal bleeding Phlebolith Selective embolization Case report 

分 类 号：R573.2[医药卫生—消化系统]