Massive Hemorrhage in Pregnancy Caused by a Diffuse Cavernous Hemangioma of the Rectum -- EUS as Imaging Modality of Choice

Klaus Gottlieb, MD; Philip Coff, MD; Harold Preiksaitis, MD; Adam Juviler, MD; Peter Fern, MD

Disclosures

September 03, 2008

Abstract

Hemorrhoidal bleeding is common during pregnancy. Other preexisting anorectal conditions can also be exacerbated by the increased vascular volume and pelvic congestion. We present the case of a young woman who developed life-threatening rectal bleeding requiring early delivery. Through use of endorectal endoscopic ultrasonography (EUS), the condition was diagnosed as a diffuse cavernous rectal hemangioma. To our knowledge, this is the first report to present Doppler images of pulsatile flow through the cavernous hemangioma. The EUS findings are correlated with those of computed tomography (CT) and magnetic resonance imagining (MRI), and a brief discussion follows.


Reader Comments on: Massive Hemorrhage in Pregnancy Caused by a Diffuse Cavernous Hemangioma of the Rectum -- EUS as Imaging Modality of Choice
See reader comments on this article and provide your own.

Readers are encouraged to respond to the author at klausg@u.washington.edu or to Peter Yellowlees, MD, Deputy Editor of The Medscape Journal of Medicine, for the editor's eyes only or for possible publication as an actual Letter in the Medscape Journal via email: peter.yellowlees@ucdmc.ucdavis.edu

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....