scholarly journals Anorectal polyp

2021 ◽  
Vol 84 (2) ◽  
pp. 387-388
Author(s):  
R Bansal ◽  
H Ghanta ◽  
R Blue ◽  
R Sharma
Keyword(s):  
Rectal Bleeding ◽  
Dentate Line ◽  
Soft Mass ◽  
Pedunculated Polyp

A 71-year-old female with hypertension presented with painless rectal bleeding and found to have a soft mass on rectal exam. The colonoscopy revealed a large pedunculated polyp with patchy discoloration arising from the dentate line (Fig. 1). Biopsies of the polyp were obtained.

A RARE CAUSE OF RECTAL BLEEDING

2018 ◽  
Author(s):  
LE Zamora Nava ◽  
G Grajales-Figueroa ◽  
AI Ramirez Polo ◽  
F Valdovinos Andraca
Keyword(s):  
Rectal Bleeding

THINK ABOUT KLIPPEL-TRENAUNAY SYNDROME IN RECURRENT RECTAL BLEEDING PRESENTATION – CASE REPORT

2020 ◽  
Author(s):  
I Lolic ◽  
V Milivojević ◽  
VM Zarić ◽  
N Jocić ◽  
D Popovic ◽  
...  
Keyword(s):  
Case Report ◽  
Rectal Bleeding ◽  
Klippel Trenaunay Syndrome

CLINICAL OUTCOMES OF ENDOSCOPIC SUBMUCOSAL DISSECTION FOR RECTAL TUMORS EXTENDING TO THE DENTATE LINE

2020 ◽  
Author(s):  
C Félix ◽  
P Barreiro ◽  
R Mendo ◽  
I Pereira ◽  
JA Rodrigues ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Clinical Outcomes ◽  
Dentate Line ◽  
Rectal Tumors ◽  
Submucosal Dissection

Rare cause of rectal bleeding

2006 ◽  
Vol 44 (05) ◽  
Author(s):  
K Földházi ◽  
T Németh ◽  
J Hamvas
Keyword(s):  
Rectal Bleeding

Do We Have Another Option to Treat Bleeding Hemorrhoids? The Emborrhoid Technique: Experience in 16 Patients

2020 ◽  
Vol 15 ◽  
Author(s):  
Elisabetta Moggia ◽  
Giuseppina Talamo ◽  
Gaetano Gallo ◽  
Gaetano Gallo ◽  
Matteo Barattini ◽  
...  
Keyword(s):  
Rectal Bleeding ◽  
Hemorrhoidal Disease ◽  
Severe Bleeding ◽  
Conventional Surgery ◽  
Short Term ◽  
Selective Embolization ◽  
Invasive Techniques ◽  
Bleeding Hemorrhoids

Background: Hemorrhoidal disease is very common in western countries and rectal bleeding is the main symptom complained by patients. Nowadays the ultimate goal of treatment is to block the bleeding with minimally-invasive techniques to minimize post-procedural pain. Objective: The aim of this study is to assess the preliminary results of the emborrhoid technique (embolization of the superior rectal arteries branches) as a new tool for the proctologist to treat severe bleeding hemorrhoids causing anemia. Many categories of patients might benefit from this treatment, such as patients not eligible for conventional surgery, patients not responding to conventional treatment and fit patients with severe bleeding who refused endorectal surgical therapy. Method: From May 2017 to November 2018 a total of 16 patients with chronic rectal bleeding due to hemorrhoids underwent super-selective embolization of the superior rectal arteries at the department of General Surgery in La Spezia, S. Andrea Hospital, Italy. Median age was 59 years. 14 patients were males (87.5 %). Results: No post-procedural and short-term complications were observed at maximum follow up (12 months). The reduction of rectal bleeding with improvement of the quality of life was obtained in 14 patients (87.5%). Conclusion: Our study, although small in number, demonstrates that embolization of superior rectal arteries with coils to treat severe bleeding due to hemorrhoids is safe and effective and does not lead to immediate complications.

Hemorrhoidal Laser procedure (HeLP) and Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx) and other Emerging Technologies

2020 ◽  
Vol 15 ◽  
Author(s):  
Paolo Giamundo
Keyword(s):  
Laser Treatment ◽  
Dentate Line ◽  
Mucosal Prolapse ◽  
Daily Activities ◽  
Common Goal ◽  
Superior Rectal Artery ◽  
Doppler Probe ◽  
The Common ◽  
Probe Set

Background: Minimally-invasive treatments for hemorrhoids should be encouraged as they cause low morbidity, reasonable discomfort and quicker return to work. According to the “vascular theory” hemorrhoidal disease is mainly caused by blood overflow into hemorrhoidal plexus deriving from the superior hemorrhoidal arteries. Introduction: Many different procedures have been described in the literature with the common goal of reducing the blood flow into the hemorrhoidal piles. ‘HeLP’ (Hemorrhoids Laser Procedure) is a novel form of dearterialization to treat patients suffering from symptomatic hemorrhoids. Methods: The procedure consists of the closure of the terminal branches of the superior rectal artery approximately 2-3 cm above the dentate line by means of laser shots originated by a diode laser platform. The arteries, at that level, have variable location and distribution. Therefore, a doppler probe set at the frequency of 20MHz helps identifying the arteries that would be missed otherwise. The laser beam is well tolerated by patients. For this reason, anesthesia is not required in most cases and the procedure allows a quick return to daily activities. In case of concomitant severe mucosal prolapse, the laser treatment can be combined with suture mucopexy. Three to six running sutures allow a complete lifting of hemorrhoidal piles, securing long-term resolution of symptoms. Results and Conclusions: ‘HeLP’ is indicated in patients with symptomatic hemorrhoids where conservative treatment failed and when mucosal prolapse is scarce or not symptomatic. The addition of mucopexy to laser treatment (HeLPexx) contributes to overall resolution of symptoms when mucosal prolapse is an issue, Emborrhoid is another novel, ‘hi-tech’ form of selective dearterialization used in selected case of hemorrhoids where main symptom is bleeding. It is generally used in cases where surgery is contraindicated due to severe concomitant diseases.

Anatomy, Physiology and Pathophysiology of Haemorrhoids

2020 ◽  
Vol 15 ◽  
Author(s):  
Francesco Pata ◽  
Alessandro Sgrò ◽  
Francesco Ferrara ◽  
Vincenzo Vigorita ◽  
Gaetano Gallo ◽  
...  
Keyword(s):  
Anal Canal ◽  
Dentate Line ◽  
Cochrane Library ◽  
Systematic Research ◽  
Literature Searching ◽  
Patient History ◽  
Haemorrhoidal Disease ◽  
Faecal Continence ◽  
Vascular Component ◽  
Key Events

Background: Haemorrhoidal disease (HD) is a frequent anal disorder and one of the most common findings identified at colorectal clinic. This article aims to provide an overview of the anatomy, physiology and pathophysiology of haemorrhoids and haemorrhoidal disease. Introduction: Internal haemorrhoids are vascular cushions located in the anal canal, above the dentate line and covered by columnar epithelium. They contribute to the faecal continence and to the sensitivity of the anal canal. The enlargement and/or sliding of haemorrhoidal tissue produce symptoms and complications, the so-called haemorrhoidal disease. Method: A systematic research was realized, looking at the best evidence in literature , searching PubMed, Embase, Cochrane library and most renowned text of colorectal surgery from January 1980 to January 2020. Result: Aetiology and pathophysiology of HD are still controversial, but multifactorial. Disruption of stromal scaffolding, enlargement of vascular component, elevated anal pressure and rectal redundancy represent key events in the development and complications of the disease. Local inflammation may play also a role. Goligher’s classification remains the most widely used. A careful patient history and examination are paramount to diagnose HD, excluding other anal or colonic pathologies. Conclusion: Several aspects of etiopathogenesis and pathophysiology remain controversial. Further studies are needed to obtain a better understanding of the disease.

Rectal Bleeding Caused by a Large, Partially Obstructing Lipoma of the Terminal Ileum

2008 ◽  
Vol 6 (5) ◽  
pp. A32
Author(s):  
Alexander Shpaner ◽  
Yolanda Hamilton
Keyword(s):  
Rectal Bleeding ◽  
Terminal Ileum

scholarly journals Inferior mesenteric artery aneurysm revealed by massif rectal bleeding, case report

2021 ◽  
pp. 102425
Author(s):  
A. Elkaouini ◽  
S. Berrajaa ◽  
M. Aabdi ◽  
M. Merbouh ◽  
S. El Mezzeoui ◽  
...  
Keyword(s):  
Case Report ◽  
Rectal Bleeding ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Artery Aneurysm

scholarly journals A case of splenic artery pseudoaneurysm rupture presenting as rectal bleeding in a regional hospital

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jonathon N Holt ◽  
Heinrich E Schwalb
Keyword(s):  
Rectal Bleeding ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Regional Hospital ◽  
Alcoholic Pancreatitis ◽  
Chronic Alcoholic Pancreatitis ◽  
Chronic Alcoholic ◽  
Artery Pseudoaneurysm ◽  
Previous Trauma ◽  
Splenic Artery Pseudoaneurysm

Abstract Splenic artery pseudoaneurysm is a rare phenomenon most associated with chronic pancreatitis or previous trauma. Complications can include erosion and rupture into local structures, a situation that carries a reported mortality of 10–40%. A 58-year-old male with chronic alcoholic pancreatitis and a known splenic artery pseudoaneurysm presented to the emergency department of a regional hospital with rectal bleeding and sepsis. Computed tomography revealed a peri-splenic mass communicating with the splenic flexure. The patient was taken for an emergency splenectomy and left hemicolectomy and was confirmed to have rupture of the splenic artery aneurysm into the large bowel. This case presented with comparable features reported in the literature and demonstrates that access to emergency specialist surgical services in a regional setting offers the capability to manage rare, life threatening surgical emergencies.

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