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KMID : 0828520130170020086
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Journal of the Korean Geriatrics Society
2013 Volume.17 No. 2 p.86 ~ p.89
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Two Cases of Colon Polyp Bleeding With Massive Hematochezia in Elderly Patients
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Kim Hye-Reen
Kang Hyoun-Mo
Chu Myeong-Su
Lee Kwang-Bok
Nam Kwang-Woo
Lee Gye-Sung
Gwak Hyeong-Jong
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Abstract
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The annual incidence of hospital admissions for lower gastrointestinal bleeding in the United States and Europe is 0.02%. Massive hemorrhage from a solitary colon polyp is an extremely rare case. We report two consecutive patients with a single polyp, which was the source of bleeding. The first case is a 68-year-old male patient who visited to our hospital for a chief complaint of considerable hematochezia. A 1.2 cm colon polyp with active bleeding was observed on colonoscopy. The second case is a 74-year-old female patient with symptoms of hematochezia. A blood clot attached 3.0 cm sized Yamada type-IV colon polyp was examined on colonoscopy. One case was a sessile polyp and the other one was a thick-stalked pedunculated polyp. Both types of polyps are supplied with more vessels than other polyps and both patients were taking aspirin. The two patients underwent snare polypectomy and discharged without further bleeding evidence.
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KEYWORD
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Gastrointestinal hemorrhage, Colonic polyp, Aspirin
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