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Massive hemorrhage into a periappendiceal abscess: case report
Cardiovascular and Interventional Radiology
|January 1, 1986
Summary
A rare case of bleeding into an ileal wall abscess was found in a 62-year-old man. Angiography revealed an unusual contrast collection in the ileocolic artery, correlating with the hemorrhage.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Periappendiceal abscesses typically arise from appendicitis.
- Hemorrhage into these abscesses is an uncommon complication.
Observation:
- A 62-year-old male presented with symptoms suggestive of a complicated abscess.
- Angiography demonstrated an unusual contrast collection at the distal ileocolic artery.
Findings:
- The contrast collection represented significant hemorrhage into an ileal wall periappendiceal abscess.
- Pathologic correlation confirmed the vascular origin of the bleeding.
Implications:
- This case highlights a rare but serious complication of periappendiceal abscesses.
- Accurate angiographic interpretation is crucial for diagnosing and managing such vascular events.