Benson J M, Orlay G
Prince of Wales Hospital, Randwick, New South Wales, Australia.
Aust N Z J Surg. 1991 Jul;61(7):537-40. doi: 10.1111/j.1445-2197.1991.tb00284.x.
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.
本文报告一例直肠和乙状结肠弥漫性海绵状血管瘤病例，以说明该肿瘤在儿童年龄组易被误诊为痔疮的倾向。鉴于该肿瘤相关的长期发病率和高死亡率，我们建议，对于任何因痔疮转诊治疗的儿童，都应考虑结直肠血管瘤的诊断。适当的检查包括腹部盆腔平片、乙状结肠镜检查和结肠镜检查及活检，以及钡剂灌肠。选择性肠系膜下动脉造影和计算机断层扫描可能会有帮助。切除及结肠肛管套叠吻合术是治疗该肿瘤最常用的手术方法。
