CardioVascular and Interventional Radiology

, Volume 31, Issue 1, pp 183–185 | Cite as

Embolization of a Hemorrhoid Following 18 Hours of Life-Threatening Bleeding

  • Viktor BercziEmail author
  • Deepa Gopalan
  • Trevor J Cleveland


Hemorrhoids usually do not pose diagnostic difficulties and they rarely cause massive bleeding. We report a case of massive rectal bleeding over 18 h needing 22 U blood transfusion treated by superselective transcatheter coil embolization 12 h following operative treatment performed in a different hospital. Diagnostic angiography with a view to superselective embolization, following failure of sigmoidoscopy to localize and treat the cause of hemorrhage, might act as a life-saving treatment in massive rectal bleeding, obviating the need for repeated endoscopy or emergency surgery.


Hemorrhoid Superselective angiography Rectal bleeding Embolisation Microcoils 


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Viktor Berczi has been undertaking an Endovascular Fellowship funded by Cordis, Johnson and Johnson, UK.


  1. 1.
    Arber N, Tiomny E, Hallak A, et al. (1994) An eight year experience with upper gastrointestinal bleeding: diagnosis, treatment and prognosis. J Med 25:261–269PubMedGoogle Scholar
  2. 2.
    Baig MK, Lewis M, Stebbing JF, et al. (2003) Multiple microaneurysms of the superior hemorrhoidal artery: Unusual recurrent massive rectal bleeding: Report of a case. Dis Colon Rectum 46:978–980PubMedCrossRefGoogle Scholar
  3. 3.
    Silver A, Bendick P, Wasvary H (2005) Safety and efficacy of superselective angioembolization in control of lower gastrointestinal hemorrhage. Am J Surg 189:361–363PubMedCrossRefGoogle Scholar
  4. 4.
    Dobson CC, Nicholson AA (1999) Treatment of rectal hemorrhage by coil embolization. Cardiovasc Intervent Radiol 22:143–146PubMedCrossRefGoogle Scholar
  5. 5.
    Kramer SC, Gorich J, Rilinger N, et al. (2000) Embolization for gastrointestinal hemorrhages. Eur Radiol 10:802–805PubMedCrossRefGoogle Scholar
  6. 6.
    Nicholson AA, Ettles DF, Hartley JE, et al. (1998) Transcatheter coil embolotherapy: A safe and effective option for major colonic haemorrhage. Gut 43:79–84PubMedCrossRefGoogle Scholar
  7. 7.
    Goldberger LE, Bookstein JJ (1977) Transcatheter embolization for treatment of diverticular hemorrhage. Radiology 122:613–617PubMedGoogle Scholar
  8. 8.
    Morar KN, Syed MI, Patel JK, et al. (2006) Embolization of middle hemorrhoidal artery in the management of life-threatening rectal bleeding. Cardiovasc Intervent Radiol 29:128–129PubMedCrossRefGoogle Scholar
  9. 9.
    Pichon N, Francois B, Pichon-Lefievre F, et al. (2005) Embolization of rectal arteries: An alternative treatment for hemorrhagic shock induced by traumatic intrarectal hemorrhage. Cardiovasc Intervent Radiol 28:515–517PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Viktor Berczi
    • 1
    • 2
    Email author
  • Deepa Gopalan
    • 1
  • Trevor J Cleveland
    • 1
  1. 1.Sheffield Vascular InstituteNorthern General HospitalSheffieldUK
  2. 2.Department of Cardiovascular SurgerySemmelweis UniversityBudapestHungary

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