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Intestinal Research 2007;5(2):184-187.
Published online December 30, 2007.
A Case of Acute Lower Gastrointestinal Bleeding from Appendix
Sun Mi Lee, Tae Oh Kim, Gwang Ha Kim, Jung Heo, Dae Hwan Kang, Geun Am Song, Mong Cho
Department of Internal Medicine, Busan National University School of Medicine, Busan, Korea
충수돌기에서 발생한 급성 하부 위장관 출혈 1예
이선미, 김태오, 김광하, 허 정, 강대환, 송근암, 조몽
부산대학교 의학전문대학원 내과학교실
It is known that the most common causes of lower gastrointestinal bleeding are diverticulosis and angiodysplasia. In addition to these causes, a malignant neoplasm, hemorrhoids, Meckel’s diverticulum, infection, Crohn’s disease, inflammatory disease due to radiation treatment, ischemic colitis, and vasculitis due to connective tissue disease can commonly produce lower gastrointestinal bleeding. A colon varix, endometriosis, or Dieulafoy's lesion rarely causes lower gastrointestinal bleeding. Lower gastrointestinal bleeding that is localized to the appendix is extremely rare, and may be caused by angiodysplasia, an ulcer due to aspirin, endometriosis, a lymphoma, or fissures on the mucous membrane associated with appendicitis. A colonoscopy, radioisotope scan, and angiography are modalities used to diagnose lower gastrointestinal bleeding, and recently, multi-detector row CT (MDCT) has been used for cases where it has been difficult to locate a lesion with other methods or to diagnose a patient when endoscopic access was not available. We report a case of a patient that came to the hospital complaining of hematochezia, and bleeding in the appendix was determined after an MDCT examination and colonoscopy. Subsequently, the patient was treated with surgery. (Intest Res 2007;5:184-187)
Key Words: Lower Gastrointestinal Tract, Angiodysplasia, Appendix
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