Korean J Gastrointest Endosc > Volume 26(1); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(1): 39-42.
충수돌기에서 발생한 급성 하부소화관 출혈 1예
정원석·권용대·김두랑·황규남·김효정·박종재·김재선
고려대학교 의과대학 내과학교실, *외과학교실, 진단방사선과학교실, 해부병리학교실
A Case of Acute Lower Gastrointestinal Bleeding from the Appendix
Won Seok Jeong, M.D., Yong Dae Kwon, M.D., Du Rang Kim, M.D., Kyoo Nam Hwang, M.D.,
Departments of Internal Medicine, *Surgery, Radiology and Pathology,
Abstract
In spite of the recent advances in diagnostic technology in clinical gastroenterology, identifying the cause of acute lower gastrointestinal bleeding is still a challenging task. Hematochezia from the appendiceal bleeding is rare and associated diseases are appendiceal endometriosis, angiodysplasia, arteriovenous malformation, Crohn's disease, appendicitis, carcinoid, lymphoma, diverticulosis, and intussusception of the appendix. We experienced a 31-year-old male with acute lower gastrointestinal bleeding from the appendix. Colonoscopy could demonstrate an active hemorrhage from the orifice of the appendix. Mesenteric arteriography revealed active bleeding from the appendix, which was managed with gelfoam embolization. Next day, appendectomy was done because of recurrent bleeding. Surgically removed appendix could not dislose any abnormal lesion except a small mucosal break. (Korean J Gastrointest Endosc 2003; 26:39⁣42)
Key Words: Lower gastrointestinal bleeding, Hematochezia, Appendix
주요어: 하부위장관 출혈, 혈변, 충수돌기
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