Abstract
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 patienťs 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 patienťs difficulties during defecation improved significantly.
No complications related to the embolization have occurred.