Staged endovascular and surgical treatment of a hemorrhagic
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Congenital venous malformations of the intraperitoneum and pelvis are rare but significant causes of unremitting gastrointestinal bleeding and chronic anemia. Treatment options vary depending on the location of lesion and extent of involvement. Herein, we present a rare case of an extensive, contiguous colorectal venous malformation complicated by lifelong, refractory hematochezia and anemia.An 18-year-old male patient presented to the Vascular Anomalies & Malformations Program upon referral from pediatric gastroenterology with long-standing hematochezia and profound iron-deficiency anemia. There was no family history of hematologic disorders or vascular anomalies. He had required countless red blood cell (RBC) and intravenous sucrose-iron transfusions. Daily multiple bloody bowel movements, frequent soilage, and chronic fatigue had significantly compromised his quality of life and ability to step outside the household environment.....

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