ABSTRACT
Hemangiomas and vascular malformations of the gastrointestinal tract, rare clinical
entities, present as overt or occult bleeding. They can be distributed throughout
the intestinal digestive system, or present as a singular cavernous hemangioma or
malformation, which is often located in the rectosigmoid region. Misdiagnosis is common
despite characteristic radiographic features such as radiolucent phleboliths on plain
film imaging and a purplish nodule on endoscopy. Adjunctive imaging such as computed
tomography and magnetic resonance imaging are suggested as there is potential for
local invasion. Endorectal ultrasound with Doppler has also been found to be useful
in some instances. Surgical resection is the mainstay of treatment, with an emphasis
on sphincter preservation. Nonsurgical endoscopic treatment with banding and sclerotherapy
has been reported with success, especially in instances where an extensive resection
is not feasible.
KEYWORDS
Hemangioma - cavernous hemangioma - vascular malformation - blue rubber bleb
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