Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum.

E Cotzias, S F Rehman, R Arsalani Zadeh, D Smith

Annals of the Royal College of Surgeons of England 2020 Jan

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Diffuse cavernous haemangioma is a rare disease of the rectum. It usually presents with a history of rectal bleeding in children and young adults. When conservative methods fail to control bleeding, traditionally resection is recommended. A 50-year-old man presented with per rectal bleeding and was diagnosed with diffuse cavernous haemangioma of the sigmoid and rectum extending up to 40 cm in the left colon through endoscopy, magnetic resonance imaging and computed tomography. The diagnosis was confirmed by biopsy. This patient was successful managed conservatively with tranexamic acid as needed, avoiding the need for resection.

Citation

E Cotzias, S F Rehman, R Arsalani Zadeh, D Smith. Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum. Annals of the Royal College of Surgeons of England. 2020 Jan;102(1):e1-e3