Diagnosis and surgical treatment of colorectal cavernous hemangioma: a report of 4 cases and review of Chinese literatures / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To summarize the clinical features and surgical methods for colorectal cavernous hemangioma in China.</p><p><b>METHODS</b>Data of 4 cases in Peking Union Medical College Hospital and 54 cases with colorectal cavernous hemangioma from 1979 to 2006 reported in Chinese literatures were analyzed retrospectively, including clinic manifestations and surgery treatment.</p><p><b>RESULTS</b>The incidence of male to female was 1.0:1.0, and 43.1% of the patients had their first onset of recurrent rectal bleeding in early childhood. Colonoscopy, rectal CT scan and MRI were the accurate methods for the diagnosis (100%). 91.4% of the patients had diffuse infiltrative lesions and 8.6% of the patients had localized lesions. 82.8% of the patients underwent surgical treatment while 3.5% of the patient did not received treatment.</p><p><b>CONCLUSIONS</b>Colonoscopy is the first choice for the diagnosis of colorectal cavernous hemangioma. Local resection should be performed for the localized cavernous hemangioma. Sigmoid colon and rectum resection with coloanal anastomosis is suitable for the diffuse and infiltrative colorectal cavernous hemangioma.</p>