A case of appendiceal bleeding with hemostasis successfully performed by endoscopic-clipping

Amada, En; Fujita, Koji; Minagawa, Takuya; Ichisaka, Shunsuke; Sakuragawa, Tadayuki; Mori, Katsuaki; Ishikawa, Keiichi; Dowaki, Shoichi; Kikunaga, Hiroyuki; Kanamori, Hideaki; Ito, Takashi; Hayashi, Akira; Kumai, Koichiro; Sasaki, Aya; Mikami, Shuji

doi:10.11641/pde.82.1_192

Cited by 1 publication

(2 citation statements)

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“…The cause of appendiceal bleeding in the remaining 12 cases was unknown. As initial treatment, 29 patients underwent surgical appendectomy, 6 patients underwent endoscopic hemostasis [ 14 , 19 , 25 , 29 , 31 , 40 ], and 1 patient underwent interventional radiology to confirm hemostasis. However, 2 of the 6 patients who underwent endoscopic hemostasis required emergency surgery due to rebleeding [ 19 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…As initial treatment, 29 patients underwent surgical appendectomy, 6 patients underwent endoscopic hemostasis [ 14 , 19 , 25 , 29 , 31 , 40 ], and 1 patient underwent interventional radiology to confirm hemostasis. However, 2 of the 6 patients who underwent endoscopic hemostasis required emergency surgery due to rebleeding [ 19 , 25 ]. As in the present case, the presence of the hemostatic clip at the base of the appendix forced the area of resection to be expanded to resect a portion of the cecum.…”

Section: Discussionmentioning

confidence: 99%

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A case of laparoscopic appendectomy for appendiceal bleeding

Nakashima,

Sano,

Ikawa

et al. 2023

surg case rep

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Background Appendiceal bleeding is very rare, accounting for about 0.4% of all lower gastrointestinal bleeding. We present a case of laparoscopic appendectomy in a patient with a diagnosis of appendiceal bleeding. Case presentation A 71-year-old man came to our hospital with a complaint of bloody stools. He had progressive anemia and persistent fresh bloody stools, so he underwent lower gastrointestinal endoscopy. Active bleeding was confirmed from the orifice of the appendix, but the bleeding could not be stopped even with clips, so an emergency laparoscopic appendectomy was performed. His postoperative course was good, and he was discharged on the third postoperative day. Although the pathology results did not allow identification of the source of the bleeding, an appendiceal diverticulum was observed, and appendiceal diverticular bleeding was suspected. Conclusion Appendiceal bleeding is often difficult to stop endoscopically, so appendectomy should be performed as soon as possible.

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