“…This case however, is different, since the source of the bleed was not localized in the actual gastrointestinal tract, but penetrated from the presacral space into the rectum, and thereby presented with rectal bleeding. Three cases of presacral hematomas have previously been described [9] , [10] , [11] . In these cases, the patients presented with diarrhea, abdominal pain or pain in the rectum while sitting [9] , [10] , or mimicking rectal malignancy by presenting as a large, boggy mass, felt during rectal examination [11] .…”