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肛门直肠血管瘤，一种罕见的下消化道出血原因，采用选择性栓塞治疗：病例报告

Anorectal hemangioma, a rare cause of lower gastrointestinal bleeding, treated with selective embolization: A case report.

作者信息

Pospisilova Barbora, Frydrych Jaromir, Krajina Antonin, Örhalmi Julius, Kajzrlikova Ivana M, Vitek Petr

机构信息

Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic.

Department of Radiodiagnostic, Hospital in Jablonec nad Nisou, Jablonec nad Nisou 46601, Czech Republic.

出版信息

World J Gastrointest Surg. 2024 Aug 27;16(8):2735-2741. doi: 10.4240/wjgs.v16.i8.2735.

DOI:10.4240/wjgs.v16.i8.2735
PMID:39220052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11362948/
Abstract

BACKGROUND

Anorectal hemangioma is a rare and frequently misdiagnosed cause of lower gastrointestinal (GI) bleeding. Here, we present a minimally invasive therapy with selective embolization.

CASE SUMMARY

A 21-year-old male patient experienced painless rectal bleeding since childhood and was treated for ulcerative colitis. Diagnostic studies later revealed specific characteristics for vascular lesions-anorectal hemangiomas. The severity of rectal bleeding caused symptomatic anemia and possible surgical treatment was associated with a high risk of fecal incontinence. Here, we present selective embolization, a minimally invasive therapeutic approach that is proven as an alternative therapeutic method of choice. The patient significantly improved temporarily and had a small ischemic ulcer, which healed with a control colonoscopy and developed no stenosis.

CONCLUSION

Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

摘要

背景

肛肠血管瘤是下消化道出血的一种罕见且常被误诊的病因。在此，我们介绍一种选择性栓塞的微创治疗方法。

病例摘要

一名21岁男性患者自童年起就经历无痛性直肠出血，并曾接受溃疡性结肠炎治疗。后来的诊断研究揭示了血管病变——肛肠血管瘤的特定特征。直肠出血的严重程度导致了症状性贫血，而可能的手术治疗与大便失禁的高风险相关。在此，我们介绍选择性栓塞，这是一种微创治疗方法，已被证明是一种可供选择的治疗方法。患者暂时有显著改善，出现了一个小的缺血性溃疡，通过结肠镜检查得到控制且愈合，未出现狭窄。

结论

了解胃肠道血管瘤的临床和放射学特征可能有助于改善诊断并避免不适当的治疗程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/7b898589243c/WJGS-16-2735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/bde8dcb63841/WJGS-16-2735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/94c413f3ae58/WJGS-16-2735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/43abde22aeaa/WJGS-16-2735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/cacce08ab70e/WJGS-16-2735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/7b898589243c/WJGS-16-2735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/bde8dcb63841/WJGS-16-2735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/94c413f3ae58/WJGS-16-2735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/43abde22aeaa/WJGS-16-2735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/cacce08ab70e/WJGS-16-2735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1df9/11362948/7b898589243c/WJGS-16-2735-g005.jpg

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A case report of an unexpected colonic polyp: cavernous hemangioma.一例意外发现的结肠息肉：海绵状血管瘤的病例报告。
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Cavernous Hemangioma: A Rare Cause of Massive Lower Gastrointestinal Bleeding.海绵状血管瘤：下消化道大出血的罕见病因
选择性栓塞术可有效缓解肛门直肠血管瘤患者的出血症状。
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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
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