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Acute lower gastrointestinal bleeding due to appendiceal mucosal erosion
Seong Kyu Baek1, Yong Hoon Kim, Sang Pyo Kim
1Department of Surgery, School of Medicine, Keimyung University, Dongsan Medical Center, Jung-Gu, Daegu, Republic of Korea.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 24, 2009
Summary
Acute lower gastrointestinal bleeding from the appendix is uncommon. This case study details a successful laparoscopic appendectomy for a patient with hematochezia due to solitary appendiceal bleeding.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Appendiceal bleeding is an infrequent cause of acute lower gastrointestinal hemorrhage.
- Differentiating appendiceal bleeding from other sources of hematochezia can be diagnostically challenging.
Observation:
- A 42-year-old male presented with hematochezia and was diagnosed with active bleeding in the distal appendix via computed tomography and colonoscopy.
- The bleeding originated from the appendiceal orifice.
Findings:
- Laparoscopic appendectomy was performed for successful treatment of the appendiceal bleeding.
- Postoperative follow-up confirmed no recurrence of hematochezia.
- Histopathological analysis revealed mucosal erosion and inflammation, without vascular abnormalities.
Implications:
- This case highlights the importance of considering the appendix as a potential source of lower gastrointestinal bleeding.
- Laparoscopic appendectomy is an effective treatment for solitary appendiceal hemorrhage.
- Further research may elucidate the specific mechanisms leading to appendiceal bleeding.
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