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. 2021 Aug 12;10(16):3537. doi: 10.3390/jcm10163537

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© 2021 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Forty-three-year-old lady, weight lifter, suffering from grade III bleeding hemorrhoids: (A) Angiogram of SRA showing a type IV vascularization according to the Thomson classification After the coiling of left lateral branch of SRA (arrow), a selective angiogram of left internal iliac artery showing a patent left MRA. (B) Coiling of right lateral branch of SRA (arrow). (C) of the CCR feeding artery below the pubic symphysis. (D) The final angiogram of SRA showing coiling of right lateral branch of SRA (arrow), coiling of left MRA (asterisk), and coiling of left lateral branch of SRA (arrowhead), with occlusion with evidence of retrograde filling of right MRA (arrow) and left MRA (arrowhead). Note the diameter of left MRA is equal to that of the SRA.