KMID : 0988920070050020184
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Intestinal Research 2007 Volume.5 No. 2 p.184 ~ p.187
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A Case of Acute Lower Gastrointestinal Bleeding from Appendix
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Lee Sun-Mi
Heo Jeong Kim Gwang-Ha Kang Dae-Hwan Song Geun-Am Cho Mong Kim Tae-Oh
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Abstract
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It is known that the most common causes of lower gastrointestinal bleeding are diverticulosis and angiodysplasia. In addition to these causes, a malignant neoplasm, hemorrhoids, Meckel¡¯s diverticulum, infection, Crohn¡¯s disease, inflammatory disease due to radiation treatment, ischemic colitis, and vasculitis due to connective tissue disease can commonly produce lower gastrointestinal bleeding. A colon varix, endometriosis, or Dieulafoy¡¯s lesion rarely causes lower gastrointestinal bleeding. Lower gastrointestinal bleeding that is localized to the appendix is extremely rare, and may be caused by angiodysplasia, an ulcer due to aspirin, endometriosis, a lymphoma, or fissures on the mucous membrane associated with appendicitis. A colonoscopy, radioisotope scan, and angiography are modalities used to diagnose lower gastrointestinal bleeding, and recently, multi-detector row CT (MDCT) has been used for cases where it has been difficult to locate a lesion with other methods or to diagnose a patient when endoscopic access was not available. We report a case of a patient that came to the hospital complaining of hematochezia, and bleeding in the appendix was determined after an MDCT examination and colonoscopy. Subsequently, the patient was treated with surgery.
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KEYWORD
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Lower Gastrointestinal Tract, Angiodysplasia, Appendix
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