Pospisilova B, Frydrych J, Krajina A, Örhalmi J, Kajzrlikova IM, Vitek P. Anorectal hemangioma, a rare cause of lower gastrointestinal bleeding, treated with selective embolization: A case report. World J Gastrointest Surg 2024; 16(8): 2735-2741 [PMID: 39220052 DOI: 10.4240/wjgs.v16.i8.2735]
Corresponding Author of This Article
Barbora Pospisilova, MD, Doctor, Department of Internal Medicine, Hospital in Frydek-Mistek, Elisky Krasnohorske 321, Frydek-Mistek 73801, Czech Republic. pospisilovab@nemfm.cz
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/
World J Gastrointest Surg. Aug 27, 2024; 16(8): 2735-2741 Published online Aug 27, 2024. doi: 10.4240/wjgs.v16.i8.2735
Anorectal hemangioma, a rare cause of lower gastrointestinal bleeding, treated with selective embolization: A case report
Barbora Pospisilova, Jaromir Frydrych, Antonin Krajina, Julius Örhalmi, Ivana M Kajzrlikova, Petr Vitek
Barbora Pospisilova, Ivana M Kajzrlikova, Petr Vitek, Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic
Jaromir Frydrych, Department of Radiodiagnostic, Hospital in Jablonec nad Nisou, Jablonec nad Nisou 46601, Czech Republic
Antonin Krajina, Department of Radiology, University Hospital Hradec Kralove, Hradec Kralove 50005, Czech Republic
Julius Örhalmi, Department of Surgery, Hospital Horovice, Horovice 26831, Czech Republic
Petr Vitek, Faculty of Medicine, University of Ostrava, Ostrava 70300, Czech Republic
Author contributions: Vitek P performed endoscopic procedures; Pospisilova B, Kajzrlikova IM, and Vitek P participated in patient care; Pospisilova B wrote the manuscript; Frydrch J contributed valuable consultation and radiological diagnosis; Örhalmi J provided a surgical opinion; Krajina A contributed valuable consultation and performed radiointerventional procedures. All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Barbora Pospisilova, MD, Doctor, Department of Internal Medicine, Hospital in Frydek-Mistek, Elisky Krasnohorske 321, Frydek-Mistek 73801, Czech Republic. pospisilovab@nemfm.cz
Received: May 5, 2024 Revised: June 3, 2024 Accepted: June 21, 2024 Published online: August 27, 2024 Processing time: 103 Days and 1.5 Hours
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.
Core Tip: Anorectal hemangioma is a rare and frequently misdiagnosed cause of lower gastrointestinal bleeding. Surgical resection of the affected area is acknowledged as a treatment of choice; however, we present a minimally invasive therapeutic approach - selective embolization. This may be performed in a specific group of symptomatic patients for whom the risks and disadvantages (such as ostomy) of the surgical procedure outweigh the possible benefits.
