Preoperative embolization of a cavernous hemangioma of the rectum

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(r) and microspheres, in a 49-year-old patient with successful prevention of uncontrolled hemorrhage during surgery.

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Bibliographic Details
Main Authors: Carvalho,Raphael Gurgel de, Feitosa,Marley Ribeiro, Urbano,Gustavo, Guzela,Vivian Regina, Joviliano,Edwaldo Edner, Féres,Omar, Rocha,Jose Joaquim Ribeiro da
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Coloproctologia 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632014000100052
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Description
Summary: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(r) and microspheres, in a 49-year-old patient with successful prevention of uncontrolled hemorrhage during surgery.