直肠和肛门弥漫性海绵状血管瘤：一例罕见的直肠出血病例，治疗颇具挑战性。
Diffuse cavernous haemangioma of the rectum and anus: an unusual case of rectal bleeding with challenging management.
作者信息
Ugolini Giampaolo, Rosati Giancarlo, Montroni Isacco, Manaresi Alessio, Blume Julia Friederike, Taffurelli Mario
机构信息
S Orsola Malpighi Hospital, General Surgery, Bologna University, Via Massarenti 9, Bologna, 40138, Italy.
出版信息
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.02.2009.1545. Epub 2009 Jun 26.
Abstract
Diffuse cavernous haemangioma of the rectum (DCHR) is an uncommon vascular pathology usually diagnosed in younger patients (5-25 years old) with painless, recurrent rectal bleeding. Here, an unusual case of an older patient with sigmoid adenocarcinoma and concomitant diffuse DCHR from the rectum to the distal edge of the anal canal is reported.The purpose of this article is to report this unusual case and to discuss pitfalls in diagnosis, preoperative assessment and treatment of DCHR.
摘要
直肠弥漫性海绵状血管瘤（DCHR）是一种罕见的血管病变，通常在较年轻患者（5 - 25岁）中被诊断出来，伴有无痛性、反复的直肠出血。在此，报告一例不寻常的老年患者，其患有乙状结肠癌，并伴有从直肠至肛管远端边缘的弥漫性DCHR。本文的目的是报告这一不寻常病例，并讨论DCHR在诊断、术前评估和治疗中的陷阱。
相似文献
1
Diffuse cavernous haemangioma of the rectum and anus: an unusual case of rectal bleeding with challenging management.直肠和肛门弥漫性海绵状血管瘤：一例罕见的直肠出血病例，治疗颇具挑战性。
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.02.2009.1545. Epub 2009 Jun 26.
2
Safety and Feasibility of Transanal Endoscopic Surgery for Diffuse Cavernous Hemangioma of the Rectum.经肛门内镜手术治疗直肠弥漫性海绵状血管瘤的安全性与可行性
Gastroenterol Res Pract. 2019 Jun 19;2019:1732340. doi: 10.1155/2019/1732340. eCollection 2019.
3
Robotic surgical procedure for diffuse cavernous hemangioma of the rectum: A case report.机器人手术治疗直肠弥漫性海绵状血管瘤 1 例报告。
Asian J Endosc Surg. 2020 Oct;13(4):564-568. doi: 10.1111/ases.12783. Epub 2020 Jan 20.
4
Diffuse cavernous hemangioma of the rectum (DCHR)--diagnosis and treatment--case report and review of available literature.直肠弥漫性海绵状血管瘤（DCHR）——诊断与治疗——病例报告及现有文献综述
Pol Przegl Chir. 2013 Apr;85(4):216-8. doi: 10.2478/pjs-2013-0033.
5
A rare cause of rectal bleeding masquerading as proctitis.一种罕见的直肠出血病因，伪装为直肠炎。
J Crohns Colitis. 2013 Apr;7(3):e99-102. doi: 10.1016/j.crohns.2012.05.022. Epub 2012 Jun 26.
6
Incidental finding of diffuse cavernous rectal haemangiomatosis during bowel cancer screening.在肠癌筛查期间偶然发现弥漫性海绵状直肠血管瘤病。
BMC Gastroenterol. 2019 Nov 27;19(1):198. doi: 10.1186/s12876-019-1118-6.
7
Transanal total mesorectal excision as a surgical procedure for diffuse cavernous hemangioma of the rectum: A case report.经肛门全直肠系膜切除术治疗直肠弥漫性海绵状血管瘤1例报告
Int J Surg Case Rep. 2017;39:164-167. doi: 10.1016/j.ijscr.2017.08.010. Epub 2017 Aug 10.
8
[Options in the surgical treatment of diffuse cavernous hemangioma of the rectum].[直肠弥漫性海绵状血管瘤的外科治疗选择]
Rev Esp Enferm Dig. 1996 Aug;88(8):566-8.
9
Cavernous haemangioma of the rectum: an uncommon cause of rectal bleeding.直肠海绵状血管瘤：直肠出血的罕见原因。
Trop Gastroenterol. 2003 Jan-Mar;24(1):42-3.
引用本文的文献
1
Conservative management of diffuse cavernous haemangioma of the sigmoid and rectum.乙状结肠和直肠弥漫性海绵状血管瘤的保守治疗
Ann R Coll Surg Engl. 2020 Jan;102(1):e1-e3. doi: 10.1308/rcsann.2019.0088. Epub 2019 Jun 3.
2
Arteriovenous malformations of the colon: A report of two cases and review of the literature.结肠动静脉畸形：两例报告并文献复习
Caspian J Intern Med. 2017 Winter;8(1):52-55.
3
Diffuse hemolymphangioma of the rectum: a report of a rare case.直肠弥漫性淋巴管瘤：一例罕见病例报告。
World J Gastroenterol. 2013 Mar 7;19(9):1494-7. doi: 10.3748/wjg.v19.i9.1494.
本文引用的文献
1
Diffuse cavernous hemangioma of the rectosigmoid colon with extraintestinal involvement.直肠乙状结肠弥漫性海绵状血管瘤伴肠外累及。
Turk J Gastroenterol. 2006 Dec;17(4):308-12.
2
Diffuse colonic hemangiomatosis.弥漫性结肠血管瘤病
Gastrointest Endosc. 2004 Nov;60(5):799. doi: 10.1016/s0016-5107(04)02044-9.
3
Diffuse cavernous hemangioma of the rectum: an atypical cause of rectal bleeding.直肠弥漫性海绵状血管瘤：直肠出血的非典型病因。
Rev Esp Enferm Dig. 2004 May;96(5):346-52. doi: 10.4321/s1130-01082004000500008.
4
Diffuse cavernous hemangioma of the rectum: report of a case.直肠弥漫性海绵状血管瘤：一例报告
Surg Today. 2003;33(4):309-11. doi: 10.1007/s005950300070.
5
Diffuse cavernous hemangiomatosis of the colon: findings on three-dimensional CT colonography.结肠弥漫性海绵状血管瘤病：三维CT结肠成像表现
AJR Am J Roentgenol. 2002 Oct;179(4):1042-4. doi: 10.2214/ajr.179.4.1791042.
6
Diagnostics and surgical treatment strategy for rectal cavernous hemangiomas based on three case examples.基于三个病例的直肠海绵状血管瘤的诊断与手术治疗策略
Int J Colorectal Dis. 1999 Dec;14(6):300-3. doi: 10.1007/s003840050233.
7
Diffuse cavernous haemangioma of the rectum.直肠弥漫性海绵状血管瘤
Eur J Surg. 1999 Mar;165(3):280-3. doi: 10.1080/110241599750007207.
8
Diffuse cavernous hemangioma of the rectum and sigmoid colon.直肠和乙状结肠弥漫性海绵状血管瘤
Dig Surg. 1998;15(6):713-5. doi: 10.1159/000018665.
9
Diffuse cavernous hemangioma of the rectum complicated by invasion of pelvic structures. Report of two cases.直肠弥漫性海绵状血管瘤合并盆腔结构侵犯。两例报告。
Dis Colon Rectum. 1998 Aug;41(8):1062-6. doi: 10.1007/BF02237403.
10
MR imaging of diffuse cavernous hemangioma of the rectosigmoid colon.直肠乙状结肠弥漫性海绵状血管瘤的磁共振成像
AJR Am J Roentgenol. 1998 Aug;171(2):413-7. doi: 10.2214/ajr.171.2.9694466.
Zotero 插件