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The utilization of intraluminal formalin for intractable rectal haemorrhage in advanced rectal cancer: a case report
Authors:A. P. Zbar  S. Bernstein  N. Greaves  M. Iniss  R. K. Shenoy
Affiliation:(1) Department of Surgery, Queen Elizabeth Hospital, University of the West Indies, Martindales Road, St. Michael, Barbados;(2) Department of Radiation Oncology, Queen Elizabeth Hospital, St. Michael, Barbados
Abstract:Abstract A patient with a metastatic fixed low rectal carcinoma presented severe rectal bleeding requiring massive transfusion over with a 36-hour period. Bleeding was controlled with the instillation of a 4% intrarectal formalin solution permitting the completion of a course of neoadjuvant chemoradiotherapy. This technique has been reserved for intractable transfusion-dependent radiation proctitis and is presented as a primary alternative in severe rectal bleeding from inoperable rectal cancer.
Keywords:Advanced rectal cancer  Intrarectal formalin
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