Lege Artis Medicinae

[Resection of colonic polypoid cavernous hemangioma with help of rubber rings]

ÁCSNÉ Tóth Andrea1, LUKOVICH Péter1, LAKATOS Péter László2, KARDOS Magdolna3, ARANY Andrea Szilvia4, HARSÁNYI László1

MARCH 20, 2014

Lege Artis Medicinae - 2014;24(03)

[INTRODUCTION - Cavernous hemangioma is a benign, rare disorder, usually localized in the distal part of the gastrointestinal system. CASE REPORT - In a 19-year-old woman treated for Crohn’s disease localized to the colon, a polypoid lesion was found during routine colonoscopy. The lesion appeared to be vascularized, purple in color and could be localized 25 cm above the anal sphincter. MSCT examination confirmed vascularization of the lesion. Considering the high risk for severe bleeding, resection was performed with surgical assistance. At first, two rubber rings were placed around the polypoid lesion. Thereafter 1 ml of epinephrine was injected into the neck of the lesion above the rubber rings, followed by polypectomy with a standard hook. No complications were present during the observation period. Histological examination of the polypoid lesion confirmed it to be cavernous hemangioma. CONCLUSION - On the basis of previous cases and the present case there might be a connection between inflammatory bowel disease and the development of cavernous hemangioma. We have not found any previous reports of a similar application of rubber rings. However, in cases where the risk of bleeding is high, this method is safe and easy to apply.]

AFFILIATIONS

  1. Semmelweis Egyetem, I. Sz. Sebészeti Klinika
  2. Semmelweis Egyetem, I. Sz. Belgyógyászati Klinika
  3. Semmelweis Egyetem, II. Sz. Patológiai Intézet
  4. Egyesített Szent István és Szent László Kórház-Rendelôintézet, Központi Radiológia

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