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It is interesting to see how the same pattern of investigation and management is repeated after decades. The message of minor surgical intervention effectively controlling major bleeding is important. Since the publication of our case nearly 20 years ago I have learnt that early inspection can allow sometimes just a simple suture to stop a major bleed. In the case of an ano-rectal varix this can be identified and treated without the delay of arranging and preforming angiography.
Harrison JD, and Kirby R.M.
Massive arterial bleeding from a single rectal vessel.
Postgrad Med J. 1997 May; 73(859): 303-304.
No competing interests
13 August 2016
Robert M Kirby
Professor of Clinical Education and Surgery
Keele University Medical School
Keele University Medical School, University Hospital of North Midlands, Stoke on Trent, ST4 6QG