충수돌기의 궤양에서 발생한 급성 하부 소화관 출혈 1예
A Case of Acute Lower Gastrointestinal Bleeding from Appendiceal Ulcer
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
하부 위장관 출혈의 가장 흔한 원인은 게실증이고 혈관이형성, 종양, 궤양과 염증 등도 하부 위장관 출혈의 원인이 될 수 있다. 하부 위장관 출혈이 충수돌기에서 발생하는 경우는 매우 드물며, 혈관이형성과 게실, 충수염, 충수의 자궁내막증이 보고되어 있다. 저자들은 아스피린을 복용 중이던 47세 남자 환자가 신선 혈변을 주소로 내원하여 시행한 대장 내시경검사에서 충수돌기에서 발생한 활동성 출혈을 확인한 후 수술을 시행하여 치료한 1예를 경험하여 문헌고찰과 함께 보고한다.
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. (Korean J Gastrointest Endosc 2007;35:42-45)
참고문헌 (17)
- "Acute lower intestinal bleeding. part II: etiology, therapy, and outcomes", 49, pp.227~238 (1999)
- "annotated algorithmic approach to acute lower gastrointestinal bleeding", 53, pp.859~863 (2001)
- "Standards of Practice Committee. ASGE Guideline: the role of endoscopy in the patient with lower-GI bleeding", 62, pp.656~661 (2005)
- "Acute lower gastrointestinal bleeding from the appendix", 46, pp.458~460 (1997)
- "Angiodysplasia of the appendix", 96, pp.242~244 (2001)
- "Appendiceal endometriosis presenting as massive lower intestinal hemorrhage", 90, pp.1881~1883 (1995)
- "Granulomatous appendicitis progressing to Crohn's disease with bleeding complication", 73, pp.554~556 (2003)
- "Carcinoid of the appendix. Observations on 4 cases", 53, pp.435~439 (1998)
- "Massive gastrointestinal hemorrhage from a diverticulum of the appendix", pp.145~147
- "Intussusception of the appendix: another poorly recognized cause of rectal bleeding", 30, pp.320~323 (2000)
- "Appendiceal Mucocele with Lower Gastrointestinal Bleeding", pp.59~63
- "A case of hemorrhage from a diverticulum of the appendix", 21, pp.48~51
- "A case of acute lower gastrointestinal bleeding from the appendix", 26, pp.39~42 (2003)
- "Acute lower intestinal bleeding. Part I: clinical presentation and diagnosis", 48, pp.606~616 (1998)
- "Aorto-appendiceal fistula presenting with bleeding per rectum", 74, pp.913~ (2004)
- "Active bleeding from a lacerated appendicular artery in a blunt trauma patient", 56, pp.1171~ (2004)
- "Active lower gastrointestinal bleeding due to appendiceal ulcer", 28, pp.445~446 (2005)