Korean Journal of Gastrointestinal Endoscopy 1999;19(1): 121-124.
충수돌기 절제술후 발생한 지연성 위장관 출혈 1 예 (A Case of Appendiceal Stump Ulceration and Bleeding One Year after Appendectomy )
정구영, 이청숙, 박철각, 양연철, 이철희, 정재락, 최대화, 김도하 (Ku Young Jeong, Cheung Sook Lee, Cheul Gak Park, Yeun Chel Yang, Cheul Hi Lee, Jae Lak Jeong, Dae Hwa Choi and Do Ha Kim)
Abstract
Postappendectomy bleeding is a rare and occasionally catastrophic phenomenon. Bleed-ing in the gastrointestinal tract may occur early or late. The cause of late bleeding included ulceration, vascular malformation or granuloma. We experienced a case of delayed appen-diceal stump ulceration and bleeding who underwent an appendectomy 1 year ago. The patient was admitted due to melena. A colonoscopy showed a well-circumscribed deep ulcer containing of silk suture material at the base of appendiceal stump. Biopsy revealed only granulation tissue with nonspecific inflammation. The silk was removed by biopsy forcep and sulfasalazine was tried. A repeat colonoscopy showed the complete ulcer heal-ing 3 months later. We report this case with a review of literatures. (Korean J Gastrointest Endosc 19: 121 ∼124, 1999)
PDF Links
Full text via DOI 
Download Citation 
