Korean J Gastrointest Endosc > Volume 34(2); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(2): 108-110.
내시경을 이용한 지혈클립으로 치료한 충수절단부 출혈
김세인 · 김상균 · 유창우 · 권혁진 · 김상욱 · 이수택
전북대학교 의과대학 내과학교실
Appendiceal Stump Bleeding That was Treated by Endoscopic Hemoclipping
Se In Kim, M.D., Sang Kyoon Kim, M.D., Chang Woo You, M.D., Hyeok Jin Kwon, M.D., Sang Wook Kim, M.D. and Soo Teik Lee, M.D.
Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea
Abstract
Appendiceal stump bleeding is a rare, but occasionally life-threatening complication. Significant lower gastrointestinal hemorrhage from an ulcerated appendiceal stump may occur after uncomplicated appendectomy. The common management includes ligation of the bleeding vessel or cecal resection by either emergency laparotomy or laparoscopy. Angiographic embolization of the bleeding vessel is an alternative therapeutic option. We report here on a case of gastrointestinal hemorrhage from an appendiceal stump, and this occurred six days after appendectomy. The bleeding was controlled endoscopically by placing hemoclips on the distinct vessel. The patient recovered thereafter without further intervention. Endoscopic hemoclipping is an effective and safe procedure, and it can replace emergency laparotomy, laparoscopy or angiographic embolization for treating appendiceal stump bleeding.
Key Words: Appendiceal stump bleeding, Hemoclipping
주요어: 충수절단부 출혈, 지혈클립
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