Korean J Gastrointest Endosc.  2003 Jan;26(1):39-42.

A Case of Acute Lower Gastrointestinal Bleeding from the Appendix

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. drbakyt@korea.ac.kr
  • 2Department of Surgery, Korea University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Pathology, Korea University College of Medicine, Seoul, Korea.

Abstract

In spite of the recent advances in diagnostic technology in clinical gastroenterology, identifying the cause of acute lower gastrointestinal bleeding is still a challenging task. Hematochezia from the appendiceal bleeding is rare and associated diseases are appendiceal endometriosis, angiodysplasia, arteriovenous malformation, Crohn's disease, appendicitis, carcinoid, lymphoma, diverticulosis, and intussusception of the appendix. We experienced a 31-year-old male with acute lower gastrointestinal bleeding from the appendix. Colonoscopy could demonstrate an active hemorrhage from the orifice of the appendix. Mesenteric arteriography revealed active bleeding from the appendix, which was managed with gelfoam embolization. Next day, appendectomy was done because of recurrent bleeding. Surgically removed appendix could not dislose any abnormal lesion except a small mucosal break.

Keyword

Lower gastrointestinal bleeding; Hematochezia; Appendix

MeSH Terms

Adult
Angiodysplasia
Angiography
Appendectomy
Appendicitis
Appendix*
Arteriovenous Malformations
Carcinoid Tumor
Colonoscopy
Crohn Disease
Diverticulum
Endometriosis
Female
Gastroenterology
Gastrointestinal Hemorrhage
Gelatin Sponge, Absorbable
Hemorrhage*
Humans
Intussusception
Lymphoma
Male
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