Catheter-Directed Middle Hemorrhoidal Artery Embolization for Life-Threatening Rectal Bleeding

Author:

Syed Mubin I1,Chaudhry Najeeb1,Shaikh Azim1,Morar Kamal1,Mukerjee Kumar2,Damallie Earl3

Affiliation:

1. Department of Interventional Radiology, Mercy Medical Center, Springfield, Ohio, USA

2. Department of Gastroenterology, Mercy Medical Center, Springfield, Ohio, USA

3. Department of Colorectal Surgery, Mercy Medical Center, Springfield, Ohio, USA

Abstract

Over the past 10 years, arteriography has become a well-established technique for the diagnosis of acute lower gastrointestinal bleeding, but not particularly for rectal bleeding. However, to the authors’ knowledge, the technique of middle hemorrhoidal artery embolization has rarely been reported in the literature. In the present report, three patients with life-threatening rectal bleeding are presented, which was controlled by superselective embolization of the middle hemorrhoidal artery or selective embolization of the internal iliac artery as a last resort.

Publisher

Hindawi Limited

Subject

Gastroenterology,General Medicine

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