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Diffuse cavernous hemangioma of the rectum and sigmoid colon
O Demircan1, H Sönmez, S Zeren
1Department of General Surgery, Cukurova University, School of Medicine, Adana, Turkey.
Digestive Surgery
|December 9, 1998
Summary
A young man experienced severe rectal bleeding due to a rectal cavernous hemangioma. Surgery successfully stopped bleeding, but he later died from an unrelated intracerebral hemorrhage.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Neurology
Background:
- Cavernous hemangiomas are rare vascular malformations that can occur in the gastrointestinal tract.
- Rectal and sigmoid colon involvement can lead to significant, life-threatening hemorrhage.
Observation:
- An 18-year-old male presented with painless rectal bleeding and hematuria.
- Diffuse cavernous hemangioma of the rectum and sigmoid colon was diagnosed.
- The patient required 30 units of blood transfusion prior to surgery.
Findings:
- Surgical intervention, including low anterior resection and partial cystectomy, successfully controlled rectal bleeding.
- The patient experienced no further gastrointestinal hemorrhage postoperatively.
Implications:
- While surgical management can resolve bleeding from rectal hemangiomas, long-term survival may be impacted by other comorbidities.
- This case highlights the challenges in managing extensive vascular malformations in the colorectum.
- Further research into the systemic implications and management of diffuse cavernous hemangiomas is warranted.