Korean J Gastrointest Endosc > Volume 35(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(1): 42-45.
충수돌기의 궤양에서 발생한 급성 하부 소화관 출혈 1예
임대승·김선문·강미일·김용석·정승현·김용문·이태희·임의혁·허규찬·최용우·강영우·고대경*
건양대학교 의과대학 내과학교실, *외과학교실
A Case of Acute Lower Gastrointestinal Bleeding from Appendiceal Ulcer
Dae Seung Lim, M.D., Sun Moon Kim, M.D., Mi Il Kang, M.D., Young Suk Kim, M.D., Seung Hyun Jung, M.D., Yong Moon Kim, M.D., Tae Hee Lee, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D., Young Woo Choi, M.D., Young Woo Kang, M.D. and Dae Kyung Ko, M.D.*
Departments of Internal Medicine and *Surgery, Konyang University College of Medicine, Daejeon, Korea
Abstract
The common causes of acute lower gastrointestinal bleeding include diverticulosis, colonic vascular ectasia, neoplasm and colitis. Acute lower gastrointestinal bleeding from the appendix is a very rare malady and the causes are reported as angiodysplasia, diverticulum, appendicitis and endometriosis. We report here on the case of a 47-year-old man, who was taking enteric coated aspirin, with severe lower gastrointestinal bleeding that was due to appendiceal ulcer. An active bleeding was identified as coming from the appendiceal orifice during colonoscopy. He was treated by simple appendectomy. Histologic evaluation showed ulceration with both acute and chronic inflammation, along with thickened vessel walls in the submucosa of the appendix.
Key Words: Lower gastrointestinal tract bleeding, Appendix, Hematochezia
주요어: 하부 위장관 출혈, 충수돌기, 혈변
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