A Rare Cause of Massive Rectal Bleeding: A Case Report

Case Report

Austin J Gastroenterol. 2016; 3(1): 1057.

A Rare Cause of Massive Rectal Bleeding: A Case Report

Sidki I*, Essamri W and Essaid A

Department of Gastroenterology, Mohammed V University, Marocco

*Corresponding author: Imane Sidki, Department of Gastroenterology, CHU Ibn Sina, Mohammed V University, Souissi, Marocco

Received: January 28, 2016; Accepted: March 30, 2016; Published: April 02, 2016


Bleeding; Rectal; Vascular


Arteriovenous malformation (AVM) of the bowel is known to be an important cause of intestinal bleeding. However AVM in the rectum is even rarer with an incidence of 0.9% to 2.9% of all gastrointestinal AVMs. We report the case of a patient having a rectal arteriovenous malformation.

Case Presentation

A 34 years old women, with no remarkable past, she developed a massive and repeating anal bleeding for 6 years requiring the itératives transfusions, clinically the abdomen is flexible, the rectal examination confirms the presence of red blood in the rectum.

The rate of hemoglobin to the admission is with 3.3g/dl, PQ : 400000 and TP at 100%.

The biological test, the fibrescopy and the ultrasonography with Doppler of the hepatic veins didn’t shows signs of a cirrhosis, a portal hypertension or thrombosis of the mesenteric vein.

Colonoscopic examination showed 3 blues venous cords in the low and middle rectum with internal hémorroïds (Figure 1a,1b).