This is a 79-year-old woman with a history of hypertension, osteoporosis and hysterectomy due to myomatosis at the age of 50 years.
The patient underwent transurethral resection of bladder cancer.
Later he received radiotherapy sessions up to a total of 50 Gy for persistence of external tumor mass in the right angle of the bladder, finishing this treatment in June 2007.
In August 2007 she started chemotherapy due to persistent bladder lesion and spinal metastases detected by follow-up CT and bone scintigraphy.
The digestive history begins in February 2008 when she is admitted for episodes of rectal bleeding initially scarce and of distal characteristics, but soon after they become more frequent and profuse, accompanied by symptoms of severe transfusion instability.
Total fixation is performed where alterations typical of actinic seizures are only observed with large friable and bleeding neovascular lesions. Treatment with argon plasma (APC) is performed.
The clinical course of the patient was unfavourable: she received consecutive treatment with steroid enemas, 5-aminosalicylic and sucralfate; additionally, three therapeutic stethoscopies were performed more often applying treatment with APC.
a bleeding without response to these treatments was proposed; the case was informed with the surgeon for topical treatment with formalin, which by means of spinal anesthesia and anal dilation treated the rectal ampulla for 10 minutes with a solution of
Four months later, the patient was admitted to the hospital with a new clinical diagnosis of tumour progression, symptomatic treatment by the Ongoing and dying Department, but without recurrent rectal bleeding.
