Abdulghaffar Shareefa, AlMulla Muna, AlNuaimi Dana, AlKetbi Reem, Khairi Tarig ElNour
Department of Radiology, Dubai Health Authority, Dubai, United Arab Emirates.
BJR Case Rep. 2022 Sep 12;8(5):20220084. doi: 10.1259/bjrcr.20220084.
Cavernous haemangiomas of the rectosigmoid colon are rare benign vascular neoplasms of the GI tract. Patients usually present at a younger age with various degree of rectal bleeding ranging from mild painless episodic bleeding to life-threatening hemorrhage. High index of suspicion and early diagnosis is crucial to avoid unnecessary biopsy and inappropriate management. We report a case of a 26-year-old male patient with a long history of recurrent rectal bleeding. Contrast-enhanced CT scan of the abdomen and pelvis and MRI confirmed the diagnosis of cavernous hemangioma. Further surgical treatment with rectosigmoid resection and colo-anal anastomosis represents the optimum path of management for our patient.
直肠乙状结肠海绵状血管瘤是胃肠道罕见的良性血管肿瘤。患者通常较年轻，有不同程度的直肠出血，从轻度无痛性间歇性出血到危及生命的大出血。高度的怀疑指数和早期诊断对于避免不必要的活检和不恰当的处理至关重要。我们报告一例26岁男性患者，有长期复发性直肠出血病史。腹部和盆腔增强CT扫描及MRI确诊为海绵状血管瘤。对该患者进一步行直肠乙状结肠切除术和结肠肛管吻合术是最佳的治疗方案。
