title: The utilization of intraluminal formalin for intractable rectal haemorrhage in advanced rectal cancer: a case report.
abstract: A patient with a metastatic fixed low rectal carcinoma presented severe rectal bleeding requiring massive transfusion over with a 36-hour period. Bleeding was controlled with the instillation of a 4% intrarectal formalin solution permitting the completion of a course of neoadjuvant chemoradiotherapy. This technique has been reserved for intractable transfusion-dependent radiation proctitis and is presented as a primary alternative in severe rectal bleeding from inoperable rectal cancer.
authors.affiliation: Department of Surgery, Queen Elizabeth Hospital, University of the West Indies, Martindales Road, St. Michael, Barbados. apzbar@hotmail.com
authors.forename: A P
authors.initials: AP
authors.lastname: Zbar
authors.forename: S
authors.initials: S
authors.lastname: Bernstein
authors.forename: N
authors.initials: N
authors.lastname: Greaves
authors.forename: M
authors.initials: M
authors.lastname: Iniss
authors.forename: R K
authors.initials: RK
authors.lastname: Shenoy
mesh_terms: D000285:Administration, Rectal; D000328:Adult; D005260:Female; D005557:Formaldehyde / Q000627:therapeutic use*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D012004:Rectal Neoplasms / Q000150:complications*
chemical_list: D005557:Formaldehyde