A rare cause of rectal bleeding in a 48-year-old lupus patient

Oumayma El Eulj, MD; Hajar Koulali, MD; Ouiame El Mqaddem, MD; Zahi Ismaili, MD; Ghizlane Kharrasse, MD

Radiology Case Reports (Jan 2024)

A rare cause of rectal bleeding in a 48-year-old lupus patient

Oumayma El Eulj, MD,
Hajar Koulali, MD,
Ouiame El Mqaddem, MD,
Zahi Ismaili, MD,
Ghizlane Kharrasse, MD

Affiliations

Oumayma El Eulj, MD: Corresponding author.; Department of Hepatogastroenterology, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy Mohammed I University, Digestive Disease Research Laboratory, Mohammed I University, BP 4806 Oujda University 60049, Oujda 60000, Morocco
Hajar Koulali, MD: Department of Hepatogastroenterology, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy Mohammed I University, Digestive Disease Research Laboratory, Mohammed I University, BP 4806 Oujda University 60049, Oujda 60000, Morocco
Ouiame El Mqaddem, MD: Department of Hepatogastroenterology, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy Mohammed I University, Digestive Disease Research Laboratory, Mohammed I University, BP 4806 Oujda University 60049, Oujda 60000, Morocco
Zahi Ismaili, MD: Department of Hepatogastroenterology, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy Mohammed I University, Digestive Disease Research Laboratory, Mohammed I University, BP 4806 Oujda University 60049, Oujda 60000, Morocco
Ghizlane Kharrasse, MD: Department of Hepatogastroenterology, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy Mohammed I University, Digestive Disease Research Laboratory, Mohammed I University, BP 4806 Oujda University 60049, Oujda 60000, Morocco

Journal volume & issue: Vol. 19, no. 1
pp. 315 – 318

Abstract

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Cavernous hemangiomas represent a rare benign cause of rectal bleeding. It corresponds to a vascular malformation that can be located anywhere in the gastrointestinal tract. Our paper reports the case of a 48-year-old woman treated for cutaneous lupus who presented to our department with intermittent moderate rectal bleeding. The Hemoglobin level was normal. A colonoscopy showed a congestive nodular red-purple vascular formation. At Computerized tomography (CT)-Scan, the lesion appeared as an irregular thickening of the posterior rectal wall, invading the meso-rectum. Magnetic resonance imaging (MRI) showed a submucosal mass of the rectum containing phleboliths with progressive enhancement in the T2 sequence. Diagnosis of rectal cavernous hemangioma was confirmed. Surgery is the most appropriate treatment for this condition, but since bleeding was not important and had no biological repercussions, multidisciplinary experts meeting decided not to operate on the patient and continue monitoring.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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