PDF(Pubmed)
Abstract：
BACKGROUND: Acute lower gastrointestinal bleeding (LGIB) is a common occurrence in clinical practice. However, appendiceal bleeding is an extremely rare condition that can easily be overlooked and misdiagnosed. The preoperative detection of appendiceal bleeding often poses challenges due to the lack of related guidelines and consensus, resulting in controversial treatment approaches.
METHODS: We presented a case of a 33-year-old female who complained of hematochezia that had lasted for 1 d. Colonoscopy revealed continuous bleeding in the appendiceal orifice. A laparoscopic appendectomy was performed immediately, and a pulsating blood vessel was observed in the mesangium of the appendix, accordingly, active bleeding into the appendicular lumen was considered. Pathological examination revealed numerous hyperplastic vessels in the appendiceal mucosa and dilated capillary vessels.
CONCLUSIONS: The preoperative detection of appendiceal bleeding is often challenging, colonoscopy is extremely important, bowel preparation is not routinely recommended for patients with acute LGIB or only low-dose bowel preparation is recommended. Laparoscopic appendectomy is the most appropriate treatment for appendiceal bleeding.
METHODS: We presented a case of a 33-year-old female who complained of hematochezia that had lasted for 1 d. Colonoscopy revealed continuous bleeding in the appendiceal orifice. A laparoscopic appendectomy was performed immediately, and a pulsating blood vessel was observed in the mesangium of the appendix, accordingly, active bleeding into the appendicular lumen was considered. Pathological examination revealed numerous hyperplastic vessels in the appendiceal mucosa and dilated capillary vessels.
CONCLUSIONS: The preoperative detection of appendiceal bleeding is often challenging, colonoscopy is extremely important, bowel preparation is not routinely recommended for patients with acute LGIB or only low-dose bowel preparation is recommended. Laparoscopic appendectomy is the most appropriate treatment for appendiceal bleeding.
摘要：
背景：急性下消化道出血（LGIB）在临床实践中很常见。然而,阑尾出血是一种极其罕见的疾病，容易被忽视和误诊。由于缺乏相关指南和共识，阑尾出血的术前检测往往会带来挑战。导致有争议的治疗方法。
方法：我们介绍了一例33岁女性，主诉便血，持续1天。结肠镜检查显示阑尾口持续出血。立即进行了腹腔镜阑尾切除术，在阑尾的系膜观察到血管脉动，因此,考虑到阑尾腔的活动性出血.病理检查显示阑尾粘膜中大量增生血管和扩张的毛细血管。
结论：阑尾出血的术前检测通常具有挑战性，结肠镜检查非常重要,急性LGIB患者通常不推荐肠道准备或仅推荐低剂量肠道准备.腹腔镜阑尾切除术是最适合阑尾出血的治疗方法。
方法：我们介绍了一例33岁女性，主诉便血，持续1天。结肠镜检查显示阑尾口持续出血。立即进行了腹腔镜阑尾切除术，在阑尾的系膜观察到血管脉动，因此,考虑到阑尾腔的活动性出血.病理检查显示阑尾粘膜中大量增生血管和扩张的毛细血管。
结论：阑尾出血的术前检测通常具有挑战性，结肠镜检查非常重要,急性LGIB患者通常不推荐肠道准备或仅推荐低剂量肠道准备.腹腔镜阑尾切除术是最适合阑尾出血的治疗方法。
