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Colorectal haemangioma and its relationship to haemorrhoids in childhood
1Prince of Wales Hospital, Randwick, New South Wales, Australia.
Insights
Diffuse cavernous hemangioma of the rectum and sigmoid colon can be misdiagnosed as hemorrhoids in children. Early consideration of colorectal hemangioma in pediatric patients with suspected hemorrhoids is crucial.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Vascular Anomalies
Background:
- Diffuse cavernous hemangioma of the rectum and sigmoid colon is a rare vascular tumor.
- This condition can present with symptoms mimicking common pediatric anorectal conditions, leading to diagnostic delays.
Observation:
- A case presentation highlights the potential for misdiagnosis of colorectal hemangioma as hemorrhoids in the pediatric population.
- Prolonged morbidity and high mortality rates are associated with delayed diagnosis and treatment.
Findings:
- Recommended investigations include plain abdominopelvic X-rays, sigmoidoscopy, colonoscopy with biopsy, and barium enema.
- Advanced imaging like selective inferior mesenteric angiography and computerized tomography can aid in diagnosis.
Implications:
- Healthcare providers should consider colorectal hemangioma in the differential diagnosis for children presenting with hemorrhoid symptoms.
- Prompt diagnosis and surgical intervention, such as excision and coloanal sleeve anastomosis, are vital for improved patient outcomes.
Abstract:
A case of diffuse cavernous haemangioma of the rectum and sigmoid colon is presented to exemplify the propensity for this tumour to be misdiagnosed as haemorrhoids in the paediatric age group. In view of the prolonged morbidity and high mortality associated with this tumour we suggest that, in any child referred for management of haemorrhoids, a diagnosis of colorectal haemangioma be considered. Appropriate investigations include plain abdominopelvic X-rays, sigmoidoscopy and colonoscopy with biopsy, and barium enema. Selective inferior mesenteric angiography and computerized tomography may be helpful. Excision and coloanal sleeve anastomosis is the most favoured operative procedure for this tumour.