Korean J Gastrointest Endosc.  2007 Jul;35(1):42-45.

A Case of Acute Lower Gastrointestinal Bleeding from Appendiceal Ulcer

Affiliations
  • 1Departments of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. islkim@hanmail.net
  • 2Departments of Surgery, Konyang University College of Medicine, Daejeon, Korea.

Abstract

The common causes of acute lower gastrointestinal bleeding include diverticulosis, colonic vascular ectasia, neoplasm and colitis. Acute lower gastrointestinal bleeding from the appendix is a very rare malady and the causes are reported as angiodysplasia, diverticulum, appendicitis and endometriosis. We report here on the case of a 47-year-old man, who was taking enteric coated aspirin, with severe lower gastrointestinal bleeding that was due to appendiceal ulcer. An active bleeding was identified as coming from the appendiceal orifice during colonoscopy. He was treated by simple appendectomy. Histologic evaluation showed ulceration with both acute and chronic inflammation, along with thickened vessel walls in the submucosa of the appendix.

Keyword

Lower gastrointestinal tract bleeding; Appendix; Hematochezia
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