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


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


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


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.

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