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©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jun 21, 2006; 12(23): 3776-3778
Published online Jun 21, 2006. doi: 10.3748/wjg.v12.i23.3776
Published online Jun 21, 2006. doi: 10.3748/wjg.v12.i23.3776
Management of ischemic proctitis with severe rectal haemorrhage: A case report
Vincent SK Yip, Martin Downey, Nee Beng Teo, John R Anderson, Department of Surgery, Southern General Hospital, Glasgow, United Kingdom
Correspondence to: Mr Vincent SK Yip, Specialist Registrar in Transplant Surgery, 9/F, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, United Kingdom. vincentyip@doctors.org.uk
Telephone: +44-709-2088991
Received: January 25, 2006
Revised: January 28, 2006
Accepted: February 18, 2006
Published online: June 21, 2006
Revised: January 28, 2006
Accepted: February 18, 2006
Published online: June 21, 2006
Abstract
Acute ischemic proctitis is a rare pathological condition. We report here a patient presented with massive rectal haemorrhage from a bleeding vessel superimposed on an underlying pathology of ischemic proctitis. This case report illustrates the difficulties in making the clinical distinction between ischemic proctitis and other pathological entities. We also discussed the beneficial role of arteriogram with embolotherapy as an effective therapeutic measure in the management of lower gastrointestinal bleeding. The literature on the subject is reviewed.