BACKGROUND: Anorectal hemangioma is a rare and frequently misdiagnosed cause of lower gastrointestinal (GI) bleeding. Here, we present a minimally invasive therapy with selective embolization. CASE SUMMARY: A 21-year-old male patient experienced painless rectal bleeding since childhood and was treated for ulcerative colitis. Diagnostic studies later revealed specific characteristics for vascular lesions-anorectal hemangiomas. The severity of rectal bleeding caused symptomatic anemia and possible surgical treatment was associated with a high risk of fecal incontinence. Here, we present selective embolization, a minimally invasive therapeutic approach that is proven as an alternative therapeutic method of choice. The patient significantly improved temporarily and had a small ischemic ulcer, which healed with a control colonoscopy and developed no stenosis. CONCLUSION: Awareness of the clinical and radiological features of GI hemangiomas may help improve diagnostics and avoid inappropriate therapeutic procedures.

Department of Internal Medicine Hospital in Frydek Mistek Frydek Mistek 73801 Czech Republic

Department of Radiodiagnostic Hospital in Jablonec nad Nisou Jablonec nad Nisou 46601 Czech Republic

Department of Radiology University Hospital Hradec Kralove Hradec Kralove 50005 Czech Republic

Department of Surgery Hospital Horovice Horovice 26831 Czech Republic

Faculty of Medicine University of Ostrava Ostrava 70300 Czech Republic

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