Arteriovenous Malformation of Rectum causing Lower Gastro Intestinal Bleed Managed with Trans-Catheter Arterial Embolisation – A Case Report
Published: 2023-09-14
Page: 455-459
Issue: 2023 - Volume 6 [Issue 2]
Muvva Sri Harsha *
Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals, Greams Road, Chennai, India.
Prasanna Kumar Reddy
Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals, Greams Road, Chennai, India.
M. Balika
Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals, Greams Road, Chennai, India.
Vijay N.
Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals, Greams Road, Chennai, India.
Ravi Kumar R.
Department of Interventional Radiology, Apollo Hospitals, Greams Road, Chennai, India.
*Author to whom correspondence should be addressed.
Abstract
Gastrointestinal arterio-venous malformations are uncommon causes of lower GI bleeding. Rectal AVMs are even rarer, and a high index of suspicion is needed to correctly diagnose them. There is no standardized treatment option for rectal AVMs. The choice of treatment has to be individualized, considering the overall performance and clinical status of the patient. Treatment options range from minimally invasive procedures like embolization to resection procedures such as anterior resection, ultra-low anterior resection, or abdominoperineal resection. Here, we present a case report of a 55 year old male who presented to us with lower GI bleed and after evaluation was diagnosed to have large rectal AVM. He underwent trans catheter arterial embolization with Poly vinyl alcohol particles and Coils. He had good post-operative recovery and remained symptom free.
Keywords: Arteriovenous malformation, coil embolization, lower GI bleed, hemangioma, colorectal hemangioma, trans-arterial embolization