Recurrent rectal bleeding from portal hypertensive colopathy in a patient with hemorrhoids.
case_report · Level V
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Abstract
In a 62-yr-old woman who complained of recurrent rectal bleeding, hemorrhoids with mucosal prolapse were found. Virus-related cirrhosis also was present. Colonoscopy revealed spontaneous bleeding from two rectal ectasias (portal hypertensive colopathy) located 9 cm from the anus. Endoscopic hemostasis was achieved with a heater probe, and there has been no recurrent hemorrhage. Colonoscopy is important in ruling out hemorrhage from portal hypertensive colopathy when rectal bleeding occurs in the presence of portal hypertension.
Medical subject headings
- Angiodysplasia
- Gastrointestinal Hemorrhage
- Hemorrhoids
- Hypertension, Portal
- Rectal Diseases