title: Endorectal pull-through operation for diffuse cavernous hemangiomatosis of the sigmoid colon, rectum and anus.
abstract: A 6-year-old girl with diffuse cavernous hemangiomatosis of the sigmoid colon, rectum and anus underwent endorectal pull-through operation for sphincter-saving resection. Rectal mucosa was resected from 4 cm above peritoneal reflection to anal skin margin and the normal sigmoid colon was pulled down through the rectal muscular cuff. Ligation of the superior rectal and left internal iliac arteries at operation achieved satisfactory control of bleeding. Postoperative manometric studies showed almost normal sphincter tone and good response to rectal stimuli by balloon inflation. The endorectal pull-through (Soave-Denda procedure) is a common procedure for Hirschsprung's disease and the best procedure for the sphincter-saving treatment of diffuse cavernous hemangiomatosis of the colon and rectum.
authors.affiliation: Department of Pediatric Surgery, Kagoshima University, School of Medicine, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Takamatsu
authors.forename: H
authors.initials: H
authors.lastname: Akiyama
authors.forename: H
authors.initials: H
authors.lastname: Noguchi
authors.forename: H
authors.initials: H
authors.lastname: Tahara
authors.forename: H
authors.initials: H
authors.lastname: Kajiya
mesh_terms: D001003:Anal Canal / Q000473:pathology / Q000601:surgery; D001005:Anus Neoplasms / Q000473:pathology / Q000601:surgery*; D002648:Child; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery; D005242:Fecal Incontinence / Q000517:prevention & control; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000473:pathology / Q000601:surgery; D006392:Hemangioma, Cavernous / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012005:Rectal Prolapse / Q000473:pathology / Q000601:surgery; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000601:surgery*