Ces radiol. 2019, 73(1):37-41 | DOI: 10.55095/CesRadiol2019/007

Emborrhoid - endovascular treatment of pain and syncopal episodes in a patient with haemorrhoidsCase report

Jan Kaván1, Jiří Křivánek1, Oldřich Paul2, David Ambrož3, Matěj Novák1
1 Radiodiagnostická klinika Všeobecné fakultní nemocnice a 1. LF UK, Praha
2 1. chirurgická klinika Všeobecné fakultní nemocnice a 1. LF UK, Praha
3 2. interní klinika Všeobecné fakultní nemocnice a 1. LF UK, Praha

The aim of this article is to present a case of a patient with internal haemorrhoids grade II-III. The patient also had portal hypertension and pulmonary hypertension based on a congenital ventricular septal defect and complained of a pain located in the rectum and presyncopal to syncopal episodes during difficult defecation. Despite an initial miniinvasive surgical treatment of a haemorrhoid, which was performed by elastic ligation, there was a progression of internal haemorrhoids within the period of six months. Further surgical treatment was contraindicated due to high Anti Xa values. Therefore embolization of branches of the superior rectal artery by metallic coils by endovascular approach was indicated. The patient's difficulties subsided immediately the day after the intervention and there were no complications of the procedure. An outpacient checked 50 days after the intervention showed no further complications. Proctological examination 5 months after the procedure revealed a slight decrease of haemorrhoidal nodes, the patient's difficulties during defecation improved significantly. No complications related to the embolization have occurred.

Keywords: coils, embolization, haemorrhoids, superior rectal artery, syncope

Accepted: April 2, 2019; Published: March 1, 2019  Show citation

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Kaván J, Křivánek J, Paul O, Ambrož D, Novák M. Emborrhoid - endovascular treatment of pain and syncopal episodes in a patient with haemorrhoids. Ces radiol. 2019;73(1):37-41. doi: 10.55095/CesRadiol2019/007.
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