Open AccessRectal Arteriovenous Malformation Treated by Transcatheter Arterial Embolization
Author(s) -
Ishikawa Sho,
Mukai Shoichiro,
Hirata Yuzo,
Kohata Akihiro,
Kai Azusa,
Namba Yosuke,
Okimoto Sho,
Fujisaki Seiji,
Fukuda Saburo,
Takahashi Mamoru,
Fukuda Toshikatsu,
Ohdan Hideki
Publication year - 2020
Publication title -
case reports in gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
ISSN - 1662-0631
DOI - 10.1159/000505090
Subject(s) - single case
An 86-year-old man who presented with frequent hematochezia with mild anemia on blood tests was admitted to our hospital. Colonoscopy exhibited a submucosal tumor-like lesion in the lower rectum. CT and MRI showed blood flow into the lesion, but not tumor component. Angiography of the superior rectal artery and left internal iliac artery showed vascular hyperplasia and nidus. Thus, rectal arteriovenous malformation was diagnosed. If bleeding from arteriovenous malformation was out of control, surgical resection was necessary. However, due to the age of the patient, we performed transcatheter arterial embolization and abdominoperineal resection was not needed. Embolization from the left superior rectal artery, middle rectal artery and inferior rectal artery was performed to control the bleeding and to avoid surgery. After embolization, he was followed up for 10 months in our hospital without recurrence.