Korean J Gastrointest Endosc.  2008 Mar;36(3):173-176.

A Case of Acute Lower Gastrointestinal Bleeding from a Benign Appendiceal Ulcer

Affiliations
  • 1Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea. endoscopist@kornet.net
  • 2Department of Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • 3Department of Radiology, Gwangju Veterans Hospital, Gwangju, Korea.
  • 4Department of Pathology, Gwangju Veterans Hospital, Gwangju, Korea.

Abstract

A hemorrhoid is the most common cause of acute lower gastrointestinal (LGI) bleeding. Diverticulosis, angiodysplasia and ischemic colitis can also cause LGI bleeding. Acute LGI bleeding from the appendix is very rare. We experienced a case of a 33-year-old woman with acute LGI bleeding from the appendix. Colonoscopy demonstrated an active hemorrhage from the orifice of the appendix. The patient was treated with a appendectomy, and a histological examination showed the presence of a small ulcer with inflamed granulation tissue in the mucosa and submucosa.

Keyword

Appendiceal ulcer; Lower gastrointestinal bleeding

MeSH Terms

Adult
Angiodysplasia
Appendectomy
Appendix
Colitis, Ischemic
Colonoscopy
Diverticulum
Female
Granulation Tissue
Hemorrhage
Hemorrhoids
Humans
Mucous Membrane
Ulcer
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