A case of endovascular management to gain control of a lower gastrointestinal haemorrhage caused by appendiceal artery bleeding

Coventry, Charles; Taylor, Jeremy; De’Ath, Henry D.; Haque, Ali

doi:10.1093/jscr/rjab204

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Mesenteric angiography is effective in diagnosis as well as intervention. However, the appendicular artery angiographic interventions were relatively contraindicated because of the high risk of ischemia of the appendix and appendicitis [ 14 ]. For that reason, surgical resection is considered as the standard of management.…”

Section: Discussionmentioning

confidence: 99%

Hematochezia due to arteriovenous malformation of the mesoappendix: a rare case report

Nguyen

Pham

Tran

2023

Journal of Surgical Case Reports

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An arteriovenous malformation (AVM) of the mesoappendix is a very rare clinical entity. The clinical features, diagnosis and management of an AVM of the mesoappendix have yet to be sufficiently explained since reports about it are scarce. We report a 57-year-old man presented with hematochezia for 2 weeks. Upper and lower endoscopic could not find the source of bleeding. Abdominal contrast-enhanced computed tomography revealed an AVM of the mesoappendix. A laparoscopic appendectomy was performed, and he had a resolution of his symptoms. Intraoperative findings and pathological results confirmed the diagnosis of AVM of the mesoappendix.

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Section: Discussionmentioning

confidence: 99%

Hematochezia due to arteriovenous malformation of the mesoappendix: a rare case report

Nguyen

Pham

Tran

2023

Journal of Surgical Case Reports

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“…A reliable and effective choice of treatment for appendiceal bleeding is appendectomy[ 2 ]. Other attempts, including vessel embolization and endoscopic therapy (therapeutic barium enema and endoclips), have been reported as successful for controlling bleeding[ 9 , 16 , 17 ]; however, the risk of acute appendicitis and rebleeding after vessel embolization and endoscopic therapy are unmanageable, and the patient may still require an appendectomy[ 9 , 17 ]. Studies for the feasibility of vessel embolization and endoscopic therapy continue to be warranted.…”

Section: Discussionmentioning

confidence: 99%

Appendiceal bleeding: A case report

Zhou¹,

Guo²,

Ye³

2022

WJCC

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BACKGROUND Acute lower gastrointestinal bleeding is common in clinical practice, and the colon is responsible for the majority of cases. However, appendiceal bleeding is an extremely rare cause. Appendiceal bleeding due to vascular diseases, such as angiodysplasia and Dieulafoy’s lesion, may result in massive lower gastrointestinal bleeding. Appendectomy is a reliable and effective option for treatment. CASE SUMMARY A 32-year-old male presented to our hospital with hematochezia that had lasted for 6 h, with approximately 600-800 mL bloody stools and loss of consciousness for a few seconds. Persistent bleeding from the orifice of the appendix was observed by colonoscopy. Following the new diagnosis of appendiceal bleeding, the patient was treated by an emergency laparoscopic appendectomy. Finally, the patient was pathologically diagnosed with appendiceal Dieulafoy’s lesion. The patient was uneventfully discharged, and follow-up 2 wk later showed no evidence of rebleeding. CONCLUSION Although appendiceal bleeding is a rare cause of acute lower gastrointestinal bleeding, clinicians should consider it during differential diagnosis.

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