Recurrent rectal bleeding from portal hypertensive colopathy in a patient with hemorrhoids.
In a 62-yr-old woman who complained of recurrent rectal bleeding, hemorrhoids with mucosal prolapse were found. Virus-related cirrhosis also was present. Colonoscopy revealed spontaneous bleeding from two rectal ectasias (portal hypertensive colopathy) located 9 cm from the anus. Endoscopic hemostasis was achieved with a heater probe, and there has been no recurrent hemorrhage. Colonoscopy is important in ruling out hemorrhage from portal hypertensive colopathy when rectal bleeding occurs in the presence of portal hypertension.
Ohta
M
M
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hashizume
M
M
Kishihara
F
F
Kawanaka
H
H
Tanoue
K
K
Sugimachi
K
K
D016888:Angiodysplasia / Q000150:complications / Q000209:etiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006484:Hemorrhoids / Q000150:complications*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008875:Middle Aged; D012002:Rectal Diseases / Q000150:complications / Q000209:etiology*; D012008:Recurrence