Massive Lower Gastrointestinal Bleeding from the Appendix

Chung, Kyu Sung; Gao, Jian Peng

doi:10.5009/gnl.2011.5.2.234

Cited by 11 publications

(7 citation statements)

References 21 publications

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“…It is typically confirmed with elevated inflammatory markers and an ultrasound or CT scan [ 3 , 6 ]. In this case, the atypical manifestation of gastroenteritis symptoms, including persistent nausea, anorexia, and hematochezia, prompted the decision for an exploratory laparotomy and subsequent appendectomy [ 7 , 9 , 10 ]. It is crucial for clinicians to thoroughly explore the absence of typical symptoms of appendicitis to delay progression to more serious complications.…”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation of Appendicitis Leading to Exploratory Laparotomy

Patel,

Nissan,

McMahon

2024

Cureus

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Appendicitis typically presents with characteristic symptoms such as right lower quadrant abdominal pain, localizing to McBurney's point, facilitating diagnosis. Here, we report a case of a 19-year-old female who exhibited atypical manifestations, including lower abdominal pain and associated hematochezia. Despite inconclusive findings from imaging modalities and laboratory investigations, persistent pain prompted exploratory laparotomy, revealing appendicitis. This case highlights the diagnostic challenge posed by variant presentations of appendicitis, emphasizing the importance of clinical judgment and vigilance in surgical decision-making.

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Section: Discussionmentioning

confidence: 99%

Atypical Presentation of Appendicitis Leading to Exploratory Laparotomy

Patel,

Nissan,

McMahon

2024

Cureus

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“…In the present case, marked eosinophilic infiltration was observed in the muscular layer of the appendix, which is con- An appendiceal hemorrhage is treated mainly by surgery, including appendectomy, cecectomy, ileocecectomy, and right hemicolectomy. 2,13 Almost all were treated surgically except for two previously reported cases. One of them was treated successfully with endoscopic hemostasis for angiodysplasia, which was confirmed by the absence of other lesions in the appendix.…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, a combination of colonoscopy and MDCT can improve diagnostic accuracy. In addition, MDCT can help identify the underlying cause of appendiceal hemorrhages, such as appendicitis or tumor 2,3,13,14.…”

mentioning

confidence: 99%

Acute Eosinophilic Appendicitis: A Rare Cause of Lower Gastrointestinal Hemorrhage

Ahn

Lee

2021

Korean J Gastroenterol

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Acute eosinophilic appendicitis (AEA) is defined as eosinophilic infiltration of the muscular layer of the appendix instead of neutrophils. The symptoms of this disease are similar to those of acute suppurative appendicitis. On the other hand, it can present as a lower gastrointestinal hemorrhage. This paper reports a case of an elderly man with an appendiceal hemorrhage due to AEA. The diagnosis was made by colonoscopy during an evaluation of hematochezia. The patient underwent a laparoscopic partial cecectomy. The histology findings revealed ulceration and marked eosinophilic infiltration of the muscularis propria of the appendix with accompanying edema. Although appendiceal hemorrhage due to AEA is extremely rare, clinicians should consider it in a differential diagnosis. (Korean

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“…All 20 cases reviewed underwent surgical treatment. Surgery is an invasive procedure, and arterial embolization is associated with complications such as rebleeding and ischemia (Chung & Gao, 2011). Endoscopic approaches to treatment, such as endoclips, epinephrine injections, cauterizations, or argon plasma coagulation, are less invasive than surgical approaches; therefore, endoscopic approaches are the preferred primary modality.…”

Section: Doi: 1023861/ejbm201530642mentioning

confidence: 99%

Successful Endoscopic Clipping of Appendiceal Orifice Bleeding: A Technical Maneuver to Convert an Emergency to an Elective Procedure

Yakubov

Anyadike

Rahmani

et al. 2016

EJBM

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Objective: We report a rare case of an elderly man with appendiceal bleeding successfully treated with endoscopic placement of hemoclips. Methods: We describe the patient’s clinical presentation, laboratory test results, imaging, and treatment. Results: An 89-year-old man presented with two episodes of bloody diarrhea that occurred two hours apart. Colonoscopy revealed active bleeding from the appen- diceal orifice. Hemostasis was achieved with epinephrine injections followed by placement of five hemoclips to effectively close the appendiceal orifice. An abdominal computed tomography (CT) showed an irregular thick- ening of the appendix wall, raising the possibility of an appendiceal mass. On hospital day 4, the patient underwent appendectomy and partial cecectomy. Pathology revealed focal ulceration of the mucosa without malig- nancy. The remainder of the patient’s hospital course was uneventful.Conclusion: The endoscopic methods used in our case proved effective in achieving hemostasis and allowed the patient to be stabilized prior to surgery. It is unclear whether longer monitoring would reveal any possible long-term complications after endoscopic closure of the appendix. It would be of interest to further investigate this approach to assess the long-term safety and efficacy of this procedure.

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Massive Lower Gastrointestinal Bleeding from the Appendix

Cited by 11 publications

References 21 publications

Atypical Presentation of Appendicitis Leading to Exploratory Laparotomy

Atypical Presentation of Appendicitis Leading to Exploratory Laparotomy

Acute Eosinophilic Appendicitis: A Rare Cause of Lower Gastrointestinal Hemorrhage

Successful Endoscopic Clipping of Appendiceal Orifice Bleeding: A Technical Maneuver to Convert an Emergency to an Elective Procedure

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