Korean J Gastrointest Endosc > Volume 37(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(4): 312-314.
대장 내시경으로 진단하여 복강경 절제로 치료한 충수돌기 출혈 1예
강동백ㆍ이정균ㆍ양빛나ㆍ김승호ㆍ오정택ㆍ박원철ㆍ김기훈*ㆍ조은영*
원광대학교 의과대학 외과학교실, *내과학교실, 의과학연구소
A Case of Successful Laparoscopic Management on Appendiceal Bleeding Diagnosed by Colonoscopy
Dong Baek Kang, M.D., Jeong Kyun Lee, M.D., Bin Na Yang, M.D., Seung Ho Kim, M.D., Jung Taek Oh, M.D., Won Chul Park, M.D., Ki Hoon Kim, M.D.* and Eun Young Cho, M.D.*
Departments of Surgery and *Internal Medicine and Institute of Medical Science, Wonkwang University College of Medicine, Iksan, Korea
Abstract
Appendiceal causes of lower gastrointestinal bleeding are rare, and identification of the bleeding site is critical. Identification of the bleeding site can be difficult. The differential diagnosis of bleeding in the appendix includes diverticulum, appendicitis, angiodysplasia, Crohn's disease, and appendiceal intussusception, which leads to mucosal erosion and vascular exposure by underlying inflammation. Laparoscopic surgery is commonly performed as a therapeutic procedure for the appendix, also can be a valuable tool in the diagnosis and treatment of hemorrhaging from the appendix. Appendiceal bleeding is rare, and laparoscopic management cases are not widely reported. Herein, we report a case of successful laparoscopic management of appendiceal bleeding diagnosed by colonoscopy with a review of the literature. (Korean J Gastrointest Endosc 2008;37:312-315)
Key Words: Appendiceal bleeding, Colonoscopy, Laparoscopic appendectomy
주요어: 충수돌기출혈, 대장내시경, 복강경 충수돌기 절제술
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