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CC BY-NC-ND 4.0 · Journal of Coloproctology 2014; 34(01): 052-054
DOI: 10.1016/j.jcol.2013.12.008
Case report

Preoperative embolization of a cavernous hemangioma of the rectum

Embolização pré-operatória do hemangioma cavernoso do reto
Raphael Gurgel de Carvalho
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Marley Ribeiro Feitosa
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Gustavo Urbano
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Vivian Regina Guzela
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Edwaldo Edner Joviliano
b   Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Omar Féres
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Jose Joaquim Ribeiro da Rocha
a   Division of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Abstract

Colorectal cavernous hemangioma is a rare benign vascular neoplasia that may be found in any segment of the colon and cause recurrent and painless rectal bleeding. Standard treatment of rectal hemangioma consists of resection of the affected segment followed by coloanal anastomosis. Massive bleeding during the operation is the most feared complication, especially during extensive resection or reoperation. The authors describe a preoperative embolization of a rectal hemangioma with Onyx-18® and microspheres, in a 49-year-old patient with successful prevention of uncontrolled hemorrhage during surgery.

Resumo

O hemangioma colorretal cavernoso é uma neoplasia vascular benigna rara, que pode comprometer qualquer segmento do colón e causar sangramento retal indolor recorrente. O tratamento habitual da doença retal inclui ressecção do segmento afetado seguido de anastomose coloanal. Sangramento retal no intra-operatório é uma complicação temível especialmente durante ressecções extensas ou reoperações. Os autores descrevem a embolização pré-operatória com microesferas e Onyx-18® de um hemangioma retal em um paciente de 49 anos, com controle satisfatório de hemorragia maciça durante o ato cirúrgico.

Keywords

Cavernous hemangioma - Gastrointestinal hemorrhage - Therapeutic embolization

Palavras-chave

Hemangioma cavernoso - Hemorragia gastrointestinal - Embolização terapêutica


Publication History

Received: 11 December 2013

Accepted: 13 December 2013

Article published online:
17 February 2021

© 2014. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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