An Unusual Cause of Acute Massive Lower Gastrointestinal Bleeding

Xue, Min; Weng, Wei-Hong; Wang, Liang-jing

doi:10.1053/j.gastro.2019.08.057

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…The etiology of appendiceal bleeding have been reported to include appendicitis, diverticulum, angiodysplasia, inflammation bowel disease, endometriosis, tumor, tuberculosis and dieulafoy's disease, in which appendicitis is the most common one [1,[5][6][7][8][9][10]. Some of appendiceal bleeding cases is acute, but most of the them is chronic and insidious [5].…”

Section: Discussionmentioning

confidence: 99%

Clinical features, treatments and prognosis of appendiceal bleeding: a case series study

Xing,

Yang,

Xiao

2023

BMC Gastroenterol

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Background Appendiceal bleeding is a rare cause of lower gastrointestinal bleeding, could be overlooked and diagnosed as obscure gastrointestinal bleeding. Due to limited real-world cases, the optimized management of appendiceal bleeding is unclear. We here shared our experiences in the past 20 years. Methods A retrospective study was conducted at West China Hospital of Sichuan University. We reviewed data of 28,175 colonoscopies from 43,095 gastrointestinal bleeding patients between June 2003 and June 2023. Six patients diagnosed as appendiceal bleeding were included. Data including symptoms, laboratory tests, imaging results, endoscopic findings, treatment and prognosis were collected and analyzed. Results Appendiceal bleeding accounts for 0.014% in gastrointestinal bleeding patients. Of the six patients, five were male, with a mean age of 48.5 years. Hematochezia was the most common symptom. The etiology included appendiceal angiodysplasia, appendicitis and appendectomy associated bleeding. Hemostasis was achieved by appendectomy, endoscopic therapy or medication according to different cases. One patient did not receive any treatment because of self-limiting bleeding. Conclusions The diagnosis of appendiceal bleeding is challenging, repeated flushing during endoscopy is helpful. Appendectomy is the priority option for treatment as well as the etiology clarification, therapeutic endoscopy and medication could be considered case by case.

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Section: Discussionmentioning

confidence: 99%

Clinical features, treatments and prognosis of appendiceal bleeding: a case series study

Xing,

Yang,

Xiao

2023

BMC Gastroenterol

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“…A literature search of relevant articles on the PubMed/MEDLINE database, from January 1977 to November 2021, was conducted, using the key words of “appendix bleeding” or “appendix hemorrhage”. Six articles regarding appendiceal bleeding due to vascular diseases were identified (Table 1 )[ 5 - 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Others have reported Dieulafoy’s lesion in the esophagus, duodenum, small intestine, colon, and rectum[ 12 - 15 ]; however, an appendiceal Dieulafoy’s lesion is extremely rare. Among the included publications, there were only 2 cases of appendiceal bleeding due to Dieulafoy’s lesion published in English language[ 5 , 7 ], with ours being the third case.…”

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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