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Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2026, Number 1

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Rev Mex Coloproctol 2026; 22 (1)

Rectosigmoid cavernous hemangioma as a rare cause of lower gastrointestinal bleeding. Case report

Senejoa NJ, Marín HDS, González AM, Leguizamon NC, Prada GJE, Tamayo VV

Language: Spanish
References: 23
Page: 33-38
PDF size: 1267.08 Kb.


ABSTRACT

Introduction: rectosigmoid cavernous hemangioma is one of the less frequent causes of lower gastrointestinal bleeding; usually it is a benign congenital vascular lesion, presenting as recurrent chronic rectal bleeding. Clinical case: we present a case of rectosigmoid cavernous hemangioma in a young patient, associated with iron deficiency anemia, refractory to medical management. Therefore, after clinical and imaging evaluation, it was decided to proceed with ultra-low rectal and sigmoid resection by laparoscopy with coloanal anastomosis and protective ileostomy as definitive treatment. Conclusion: rectal hemangiomas should be differential diagnoses for patients with long-standing lower gastrointestinal bleeding, especially in young adults who do not respond satisfactorily to medical management, in order to provide timely management and avoid complications.


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