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Journal of Crohn's and Colitis: 9 (7)

Editor-in-Chief

Laurence J. Egan, Ireland

Associate Editors

Maria T. Abreu, USAShomron Ben-Horin, IsraelSilvio Danese, ItalyPeter Lakatos, HungaryMiles Parkes, UKGijs van den Brink, NLSéverine Vermeire, Belgium

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Published on behalf of

A rare cause of rectal bleeding masquerading as proctitis

Sukhdev Chatu , Devinder Kumar , John Du Parcq , Ioannis Vlahos , Richard Pollok
DOI: http://dx.doi.org/10.1016/j.crohns.2012.05.022 e99-e102 First published online: 1 April 2013

Abstract

Background and aims: Diffuse cavernous haemangioma of the rectum (DCHR) is a rare benign vascular neoplasm that affects mainly young adults and can present with rectal bleeding or massive haemorrhage. We report a case of DCHR masquerading as proctitis which was diagnosed many years ago following colonoscopy. This is the first case where the DCHR was resected with subsequent formation of a colonic J pouch versus conventional colo-anal anastomosis in order to maintain good bowel function.

Method: Clinical case report including a review of current literature regarding DCHR.

Results: This is one of few cases of DCHR reported that was initially misdiagnosed as proctitis.

Conclusions: Awareness of this rare condition is important when investigating patients presenting with rectal bleeding to prevent unnecessary treatment and delay surgery. Prompt intervention is necessary to prevent severe rectal haemorrhage.

Keywords
  • Inflammatory bowel disease
  • Diffuse cavernous haemangioma of the rectum
  • Proctitis
  • Colonic J pouch
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