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Massive arterial bleeding from a single rectal vessel

J D Harrison1, A Calatayud, V R Thava

  • 1Department of Surgery, North Staffordshire Hospital, Stoke on Treat, UK.

Postgraduate Medical Journal
|May 1, 1997
PubMed
Summary
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Massive rectal bleeding from an ectatic artery above the hemorrhoidal cushion was identified. An anal retractor successfully located the source, preventing major abdominal surgery.

Area of Science:

  • Gastroenterology
  • Vascular Surgery

Background:

  • Massive rectal hemorrhage can be life-threatening.
  • Identifying the source of bleeding is crucial for effective treatment.

Observation:

  • A case of significant rectal bleeding was observed.
  • The bleeding originated from a single, enlarged artery situated above the hemorrhoidal cushion.
  • The rectal mucosa surrounding the vessel appeared normal.

Findings:

  • The bleeding vessel was successfully identified using an anal retractor.
  • This minimally invasive approach avoided the need for a laparotomy.

Implications:

  • Endoscopic identification and management of arterial rectal bleeding are feasible.

Related Experiment Videos

  • Minimally invasive techniques can be effective in managing severe gastrointestinal hemorrhage.
  • This case highlights an alternative to surgical intervention for specific causes of rectal bleeding.