Zhu HT, Chen WG, Wang JJ, Guo JN, Zhang FM, Xu GQ, Chen HT. Endoscopic ultrasound-guided lauromacrogol injection for treatment of colorectal cavernous hemangioma: Two case reports. World J Gastrointest Surg 2024; 16(3): 966-973 [PMID: 38577088 DOI: 10.4240/wjgs.v16.i3.966]
Corresponding Author of This Article
Hong-Tan Chen, MD, Chief Physician, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qinchun Road, Hangzhou 310003, Zhejiang Province, China. chenhongtan@zju.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hua-Tuo Zhu, Wen-Guo Chen, Jing-Jie Wang, Jia-Nan Guo, Fen-Ming Zhang, Guo-Qiang Xu, Hong-Tan Chen, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
Co-corresponding authors: Guo-Qiang Xu and Hong-Tan Chen.
Author contributions: Zhu HT and Chen WG contributed to manuscript writing and editing, and data collection; Wang JJ, Guo JN and Zhang FM contributed to data analysis; Xu GQ and Chen HT guided the treatment and contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Supported byNatural Science Foundation of Zhejiang Province, No. LY20H030010; and Medical Health Science and Technology Project of Zhejiang Provincial Health Commission, No. 2019-KY1-001-181.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Tan Chen, MD, Chief Physician, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qinchun Road, Hangzhou 310003, Zhejiang Province, China. chenhongtan@zju.edu.cn
Received: December 19, 2023 Peer-review started: December 19, 2023 First decision: January 4, 2024 Revised: January 20, 2024 Accepted: February 25, 2024 Article in press: February 25, 2024 Published online: March 27, 2024 Processing time: 93 Days and 22.3 Hours
Abstract
BACKGROUND
Colorectal cavernous hemangioma is a rare vascular malformation resulting in recurrent lower gastrointestinal hemorrhage, and can be misinterpreted as colitis. Surgical resection is currently the mainstay of treatment, with an emphasis on sphincter preservation.
CASE SUMMARY
We present details of two young patients with a history of persistent hematochezia diagnosed with colorectal cavernous hemangioma by endoscopic ultrasound (EUS). Cavernous hemangioma was relieved by several EUS-guided lauromacrogol injections and the patients achieved favorable clinical prognosis.
CONCLUSION
Multiple sequential EUS-guided injections of lauromacrogol is a safe, effective, cost-efficient, and minimally invasive alternative for colorectal cavernous hemangioma.
Core Tip: Colorectal cavernous hemangioma is a rare vascular malformation resulting in recurrent lower gastrointestinal hemorrhage. We present details of two young patients diagnosed with colorectal cavernous hemangioma by endoscopic ultrasound (EUS). Cavernous hemangioma was relieved by EUS-guided lauromacrogol injection and the patients achieved favorable clinical prognosis. Surgical resection is currently the mainstay treatment for colorectal cavernous hemangioma, but EUS-guided lauromacrogol injection might be a better option.
