Summary and Conclusions
Profound anemia may be caused by hemorrhoids, and complaints referable to the anemia may be minimal. Before committing a patient to surgery, care should be taken to rule out other diseases. Arterial hemorrhoids probably represent arteriovenous fistulas and are frequently found in association with profound anemia.
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Pumphrey, R.E. Profound anemia caused by bleeding hemorrhoids of the arterial type suggesting arteriovenous fistulas. Dis Colon Rectum 7, 319–320 (1964). https://doi.org/10.1007/BF02630540
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DOI: https://doi.org/10.1007/BF02630540