Cavernous, arteriovenous, and mixed hemangioma - Lymphangioma of the rectosigmoid: Rare causes of rectal bleeding - Case series and review of the literature

Patricia Sylla, Gary Deutsch, Jean Luo, Claudia Recavarren, Sanghyun Kim, Tomas M. Heimann, Randolph M. Steinhagen

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations

Abstract

Introduction: Cavernous hemangiomas of the sigmoid colon and rectum are uncommon vascular malformations usually found in young adults with a long history of episodic and painless rectal bleeding. Alternatively, they may present with massive life-threatening hemorrhage. Discussion: We report three cases of hemangioma of the rectosigmoid including one case of cavernous hemangioma, one case of arteriovenous hemangioma, and one case of hemangiolymphangiomatosis with emphasis on clinical presentation, radiologic, operative, and pathologic findings. Definitive treatment consists of complete resection with a sphincter-preserving procedure or abdominoperineal resection, based on extent of disease. Conclusion: Therapy is typically delayed by several years in these patients due to erroneous diagnosis and failed treatment of hemorrhoids and inflammatory bowel disease. Relative to hemangiomas, lymphangiomas of the rectosigmoid are even more rare and when symptomatic, present with rectal bleeding and pelvic pain.

Original languageEnglish
Pages (from-to)653-658
Number of pages6
JournalInternational Journal of Colorectal Disease
Volume23
Issue number7
DOIs
StatePublished - Jul 2008

Keywords

  • Arteriovenous hemangioma
  • Cavernous hemangioma
  • Hemangiolymphangiomatosis
  • Rectal bleeding

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