The colon and rectumhemangioma is a rare benign vascular lesion, with clinical features usuallybetween 5 and 25 years of age. It is included in the differential diagnose ofthe lower digestive bleeding causes, and has been frequently misdiagnosed withother more common entities, like hemorrhoids and bowel inflammatory disease.The late diagnose occurs usually because of the rarity of the disease, withmortality rates reaching 40 to 50% in presence of severe bleeding. We reporta case of a 17 years old girl who was admitted at the Coloproctology Serviceof the Academic Hospital - HUUFMA, in September 2005, with anemia and intermittentrectal bleeding since childhood. Laboratorial findings included laboratorialexams, GI endoscopy, colonoscopy and arteriography of mesenteric and internaliliacs arteries. Conventional rectosigmoidectomy with low colorectal anastomosiswas done, with good postoperative evolution and histopathologic examinationof the resected specimen.