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Severe anal bleeding in Proteus syndrome: a case report.

J M L G Gehlen¹, W G van Gemert, M W de Haan

¹Department of Surgery, University Hospital Maastricht, P. Debeyelaan 25, 6202 AZ, Maastricht, Netherlands. jolandagehlen@hotmail.com

Techniques in Coloproctology

|May 19, 2007

Summary

Proteus syndrome, a rare congenital disorder, can cause severe anal bleeding. Doppler-guided haemorrhoidal artery ligation (DG-HAL) offers a safe and effective treatment option for affected individuals.

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Area of Science:

Medical Genetics
Vascular Surgery

Background:

Proteus syndrome is a rare, sporadic, congenital, and polymorphic disorder.
Approximately 200 cases have been reported, but none linked to hemorrhoidal anal bleeding.

Observation:

A 21-year-old male patient with Proteus syndrome presented with severe anal bleeding from hemorrhoids.
Surgical hemorrhoidectomy was deemed too high-risk due to extensive venous abnormalities identified on CT scans.

Findings:

The patient underwent Doppler-guided haemorrhoidal artery ligation (DG-HAL).
This minimally invasive procedure successfully controlled the anal bleeding.

Implications:

DG-HAL presents a viable and safe alternative for managing severe hemorrhoidal bleeding in patients with Proteus syndrome.
This case highlights the importance of considering less invasive surgical options in complex vascular conditions.