Diffuse cavernous hemangioma of the rectosigmoid colon.
Diffuse cavernous hemangioma of the rectosigmoid colon is an uncommon benign vascular lesion. We report 5 cases of diffuse cavernous hemangioma, focusing on the clinical features, diagnosis procedure and treatment. Five patients have undergone sphincter-saving procedures, 3 cases had coloanal sleeve anastomoses and 1 patient each had pull-through anastomosis and lower anterior resection. During the follow-up, which ranged from 3 to 10 years, 3 patients had no further anal bleeding and 2 patients had minor intermittent anal bleeding. Continence for normal stool was satisfactory in all patients. In conclusion, sphincter-saving procedure is most appropriate and curative approach for the treatment of diffuse cavernous hemangioma. Imaging study plays an important role in the diagnosis, preoperative staging and follow-up.
Wang
H T
HT
Department of Colorectal Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, China. wanghantao527@hotmail.com
Tu
Y
Y
Fu
C G
CG
Meng
R G
RG
Cui
L
L
Xu
H L
HL
Yu
D H
DH
D000293:Adolescent; D000328:Adult; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000175:diagnosis* / Q000601:surgery*