Successful laparoscopic treatment of hemorrhage from the appendix with phlegmonous acute appendicitis: a case report and review of the literature

Yamazaki, Kaoru; Nakao, Kentaro; Tsunoda, Akira; Ohnaka, Tohru; Amagasa, Hidetoshi; Suzuki, Naoto; Narita, Kentaro; Mikogami, Tetsuya; Kaetsu, Tsutomu; Murakami, Masahiko; Kurihara, Toshikazu; Takeuchi, Yoji; Yoshikawa, Nozomi; Imawari, Michio; Kusano, Mitsuo

doi:10.1016/j.gie.2006.01.002

Cited by 21 publications

(14 citation statements)

References 11 publications

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“…5 Several pathologic conditions have been reported to be related to appendiceal bleeding, including Crohn's disease, appendicitis, intussusceptions, angiodysplasia, neoplasm, endometriosis and erosion of appendiceal mucosa. 5 Erosion of appendiceal mucosa leading to appendiceal hemorrhage is a rare condition, and to our knowledge, this is only the second case report of mucosa sloughing-induced appendiceal hemorrhage. The affected age of appendiceal hemorrhage is younger than that of lower gastrointestinal bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…Yamazaki et al reviewed 13 reported cases of appendiceal hemorrhage, but bleeding from the appendiceal orifice could only be identified in 5 cases. 5 Since the advent of multidetector CT, this method has been proven to be quite valuable in evaluating gastrointestinal bleeding. It is a non-invasive, rapidly performed investigation, requires no bowel preparation, and has an accuracy rate of 88.5%.…”

Section: Discussionmentioning

confidence: 99%

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Appendiceal hemorrhage – An uncommon cause of lower gastrointestinal bleeding

Chiang

Liao

et al. 2011

Journal of the Chinese Medical Association

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Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn's disease, neoplasms, inflammatory bowel disease, hemorrhoids, and ischemic colitis. Lower gastrointestinal bleeding arising from the appendix is an extremely rare condition. We report a case of appendiceal hemorrhage in a young male. Diagnosis was made by multidetector computerized tomography during survey for hematochezia. The patient recovered well after appendectomy. The histological finding revealed focal erosion of appendix mucosa with bleeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Appendiceal hemorrhage – An uncommon cause of lower gastrointestinal bleeding

Chiang

Liao

et al. 2011

Journal of the Chinese Medical Association

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“…13 For patients with angiodysplasia, percutaneous transcatheter arterial embolization has been recognized as an useful therapy, but there can be such complications as rebleeding, ischemic change of normal bowel mucosa, and perforation. 12,13 Colonoscopic clipping as a treatment for appendiceal Continuous bleeding from the appendiceal orifice was noted. bleeding has not been reported until now.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16] In such cases it has been suggested that the bleeding results from inflammation leading to an exposure of the submucosal vessels. 14 After a colonoscopic diagnosis of appendiceal bleeding, the usual therapeutic procedure is laparoscopic or surgical appendectomy.…”

Section: Introductionmentioning

confidence: 99%

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Colonoscopic Clipping as a Treatment for Appendiceal Bleeding

Park¹,

Kwon²,

Ko³

et al. 2010

Gut Liver

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Bleeding from the appendix has been reported very rarely in patients with lower-gastrointestinal-tract bleeding. In general, after a colonoscopic diagnosis of appendiceal bleeding, laparoscopic or surgical appendectomy would be recommended. Two patients with continuous bleeding from the appendix were treated with partial occlusion of the appendiceal orifice by colonoscopic clipping. In neither case was there evidence of further active bleeding over the following 12 months. This is the first report of such a treatment in the English literature. (Gut Liver 2010;4:411-414)

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An unusual cause of lower gastrointestinal bleeding

et al. 2008

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Objective Clinical magnetic resonance studies show delayed and ongoing neurodegeneration after neonatal hypoxia‐ischemia (HI), but the mechanisms and timing of this neurodegeneration remain unclear. We used ex vivo diffusion tensor imaging (DTI) and brain neuropathology to determine whether selective injury to white matter tracts occurs after neonatal HI in mice resulting in neural system–associated attrition in remote regions and at delayed times. Methods The Rice–Vannucci model (unilateral carotid ligation + 45 minutes of hypoxia FiO2 = 0.08) was used to cause brain injury in postnatal day 7 (p7) C57BL6 mice, and ex vivo DTI and correlative neuropathology were performed at p8, p11, p15, p21, p28, and p42. Results DTI provides excellent contrast visualization of unmyelinated white matter in the immature mouse brain. Severe ipsilateral injury to the hippocampus is seen with both histopathology and diffusion‐weighted magnetic resonance imaging 24 hours after injury. Injury to axons is evident 24 hours after HI in the hippocampal alveus. By p11 and continuing until p28, the ipsilateral fimbria fornix degenerates. At p15, there is injury and loss of axons entering the ipsilateral septal nucleus followed by ipsilateral septal atrophy. Volume loss in the hippocampus is rapid and severe, but is subacute and significantly slower in the ipsilateral septum. Neonatal HI also interrupts the normal developmental increase in fractional anisotropy in the ipsilateral fimbria but not in the contralateral fimbria from p8 to p42. Interpretation In neonatal brain, there is progressive systems‐preferential injury after HI. DTI allows unparalleled visualization of this neural network–associated attrition so that it can be followed longitudinally in developing brain. Ann Neurol 2008;64:535–546

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Successful laparoscopic treatment of hemorrhage from the appendix with phlegmonous acute appendicitis: a case report and review of the literature

Cited by 21 publications

References 11 publications

Appendiceal hemorrhage – An uncommon cause of lower gastrointestinal bleeding

Appendiceal hemorrhage – An uncommon cause of lower gastrointestinal bleeding

Colonoscopic Clipping as a Treatment for Appendiceal Bleeding

An unusual cause of lower gastrointestinal bleeding

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