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  • Title: Recurrent rectal bleeding from portal hypertensive colopathy in a patient with hemorrhoids.
    Author: Ohta M, Hashizume M, Kishihara F, Kawanaka H, Tanoue K, Sugimachi K.
    Journal: Am J Gastroenterol; 1995 Sep; 90(9):1531-3. PubMed ID: 7661188.
    Abstract:
    In a 62-yr-old woman who complained of recurrent rectal bleeding, hemorrhoids with mucosal prolapse were found. Virus-related cirrhosis also was present. Colonoscopy revealed spontaneous bleeding from two rectal 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 occurs in the presence of portal hypertension.
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