A Case of Diffuse Cavernous Hemangioma of the Rectum Associated with Various Vascular Disorders

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  • Nagamine T.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Gonda T.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Sakimoto T.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Kitaoka T.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Nakada H.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Yokoyama M.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Ishibashi K.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Ishida H.
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • Fujino Y.
    Department of Surgery, Kawagoe Gastroenterological Hospital
  • Mochizuki T.
    Department of Surgery, Kawagoe Gastroenterological Hospital

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Other Title
  • 種々の血管系異常をともなった直腸びまん性海綿状血管腫の１例

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Abstract

A 33-year-old man underwent laparotomy for recurrent intestinal obstruction and diffuse cavernous hemangioma of the rectum. Total proctectomy with colo-anal anastomosis and appendectomy was performed since the vermiform appendix was also found to be involved in hemangioma at laparotomy. In addition to the intestinal hemangiomas, this patient was associated with vascular disorders including hemangioma in the gluteal skin, arterio-venous fistula between the internal iliac vessels, and venous aneurysm in the lower extremity. Based on these findings, this patient is very rare with no similar cases previously reported, and may be related with systemic vascular disorders although clearly discriminated by blue rubber bleb syndrome.

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