A case of pregnancy accompanied by diffuse cavernous hemangioma of the rectosigmoid colon

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  • 直腸・S状結腸びまん性海綿状血管腫合併妊娠の1例

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The patient was a 21-year-old woman, gravida 3, para 0, with a history of diffuse cavernous hemangioma of the rectosigmoid colon. She visited our department for the first time because of amenorrhea; a prenatal checkup was performed because she was found to be at 9 weeks and 5 days of gestation. During the course of pregnancy, there was no bleeding such as melena, and anemia was controlled by administration of iron. Elective cesarean section was chosen. Reports of diffuse cavernous hemangioma of the rectum are rare; only 2 cases, including the present case, have been reported. Elective cesarean section was performed in this patient, considering the risk of bleeding based on imaging findings. As a result, the postoperative course was favorable in both the mother and child. It is necessary to consider the mode of delivery for each patient based on assessment of the site and distribution area of hemangioma, and preparations for surgery, including extirpation of the hemangioma in case of bleeding, should be made.

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