Alicia Ruiz de la Hermosa, General Surgery and Digestive System, Hospital Universitario Infanta Leonor, Madrid, Spain Jaime Zorrilla-Ortuzar, General Surgery and Digestive System, Hospital Universitario Gregorio Marañon. Madrid, Spai Emilio Del Valle-Hernández, General Surgery and Digestive System, Hospital Universitario Gregorio Marañon. Madrid, Spai


Diffuse cavernous hemangioma (DCH) is a rare benign vascular lesion. The rectosigmoid colon is the most common site of this disease. It affects mainly young adults. The most frequent symptom is chronic rectal bleeding which is painless, often begins in the infancy and sometimes is uncontrollable. Endoscopy is the diagnose method of choice and complete surgical excision with sphincter-saving procedure is the primary mode of treatment. A high index of suspicion and a correct diagnose is necessary. We present a 34-year-old male with a DCH of the rectum and anus who required an APR because of affection of dentate line.



Keywords: Cavernous hemangioma. Abdominoperineal resection. Intestinal hamartoma. Rectal bleeding.