RT Journal Article SR Electronic T1 Diffuse cavernous haemangioma of the rectum and anus: an unusual case of rectal bleeding with challenging management JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr0220091545 DO 10.1136/bcr.02.2009.1545 VO 2009 A1 Giampaolo Ugolini A1 Giancarlo Rosati A1 Isacco Montroni A1 Alessio Manaresi A1 Julia Friederike Blume A1 Mario Taffurelli YR 2009 UL http://casereports.bmj.com/content/2009/bcr.02.2009.1545.abstract AB Diffuse cavernous haemangioma of the rectum (DCHR) is an uncommon vascular pathology usually diagnosed in younger patients (5–25 years old) with painless, recurrent rectal bleeding. Here, an unusual case of an older patient with sigmoid adenocarcinoma and concomitant diffuse DCHR from the rectum to the distal edge of the anal canal is reported. The purpose of this article is to report this unusual case and to discuss pitfalls in diagnosis, preoperative assessment and treatment of DCHR.