M. Ohta et al., RECURRENT RECTAL BLEEDING FROM PORTAL HYPERTENSIVE COLOPATHY IN A PATIENT WITH HEMORRHOIDS, The American journal of gastroenterology, 90(9), 1995, pp. 1531-1533
In a 62-yr-old woman who complained of recurrent rectal bleeding, hemo
rrhoids with mucosal prolapse were found. Virus-related cirrhosis also
was present. Colonoscopy revealed spontaneous bleeding from two recta
l ectasias (portal hypertensive colopathy) located 9 cm from the anus.
Endoscopic hemostasis was achieved with a heater probe, and there has
been no recurrent hemorrhage. Colonoscopy is important in ruling out
hemorrhage from portal hypertensive colopathy when rectal bleeding occ
urs in the presence of portal hypertension.