Singland J D, Penna C, Parc R
Service de Chirurgie Digestive, Hôpital Saint-Antoine, Paris.
Ann Chir. 1997;51(4):382-4.
A diffuse cavernous hemangioma of the colon and rectum was made in a 20-year-old man. Treatment consisted of total colectomy with ileorectostomy. A proctectomy was mandatory four years later because of massive rectal bleeding. A sphincter-saving operation was possible and bowel continuity was restored with an ileal "J" pouch-anal anastomosis. Cavernous hemangioma generally affects the rectosigmoid and colo-anal sleeve anastomosis is the treatment of choice. When cavernous hemangioma affects the colon and rectum or when the colon has been removed for an other reason, an ileo-anal anastomosis, although technically difficult, can be performed in order to prevent recurrent bleeding while preserving continence and allowing acceptable bowel function.
一名20岁男性患有结肠和直肠弥漫性海绵状血管瘤。治疗方法为全结肠切除加回肠直肠吻合术。四年后，由于大量直肠出血，必须进行直肠切除术。保肛手术可行，通过回肠“J”袋肛管吻合术恢复肠道连续性。海绵状血管瘤一般累及直肠乙状结肠，结肠肛管袖状吻合术是首选治疗方法。当海绵状血管瘤累及结肠和直肠或因其他原因已切除结肠时，尽管技术上有难度，但为了防止复发出血，同时保持控便能力并使肠道功能尚可接受，可进行回肠肛管吻合术。
