Rectal arterio-venous malformation (AVM) with bleeding of an internal hemorrhoid View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-02-16

AUTHORS

Yusuke Komekami, Fumio Konishi, Kohzoh Makita, Toma Mijin, Atsushi Onogawa, Takeshi Chochi, Chunyong Lee, Takayoshi Yoshida, Tooru Maeda, Makoto Mitsusada, Shunji Hasegawa

ABSTRACT

A 38-year-old male with no past history of illnesses visited the out-patient clinic of Nerima Hikarigaoka Hospital complaining of dizziness and persistent anal bleeding. There was a significant anemia on a blood test and colonoscopy showed a thrombus in a markedly swollen internal hemorrhoid. Contrast-enhanced computed tomography (CT) showed a poorly demarcated area with early face enhancement on the right side of the rectum and anal canal. Based on these findings, an arterio-venous malformation (AVM) of the rectum was suspected. Abdominal angiography showed abnormal vessels receiving a blood supply from the bilateral superior rectal arteries. We suspected that the AVM in the rectum was the cause of the hemorrhage from the internal hemorrhoid, and therefore performed embolization of the AVM. Thereafter, the hemorrhage from the internal hemorrhoid stopped completely and the anemia improved to the normal level, without the need for treatment for the internal hemorrhoid. Colonoscopy performed 6 months after embolization showed shrinkage of the internal hemorrhoid. To the best of our knowledge, there are no reports stating a relationship between rectal AVM and internal hemorrhoids. However, we consider that contrast-enhanced CT can be used to detect vessel abnormalities related to severe bleeding of the internal hermorrhoids in patients with internal hemorrhoids and severe anemia. More... »

PAGES

22-26

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12328-016-0629-8

DOI

http://dx.doi.org/10.1007/s12328-016-0629-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049815667

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26879656


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