The case described is a 30-year-old female patient with recurring massive haemorrhage from the anus. The source of bleeding was a large cavernous haemangioma of the rectum,which extended from the rectosigmoid colon to the distal third of the rectum. Acute bleeding episodes were managed only temporarily with repeated endoscopic sclerotization, ligation or selective and superselective angiography and embolization of the inferior mesenteric artery and its branches. Only a low anterior resection of the affected bowel with coloanal anastomosis was curative. We present endoscopic, angiographic and operative findings.

        Key words: haemangioma of the rectum, haematochezia, endoscopy, angiography, low rectal resection