Ma Q, Du JJ. Appendiceal bleeding caused by vascular malformation: A case report. World J Clin Cases 2024; 12(14): 2457-2462 [PMID: 38765744 DOI: 10.12998/wjcc.v12.i14.2457]
Corresponding Author of This Article
Jin-Jie Du, MM, Doctor, Department of Geriatrics, Fuling Hospital Affiliated to Chongqing University, No. 2 Gaosuntang Road, Fuling District, Chongqing 408000, China. 1369343220@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2024; 12(14): 2457-2462 Published online May 16, 2024. doi: 10.12998/wjcc.v12.i14.2457
Appendiceal bleeding caused by vascular malformation: A case report
Qin Ma, Jin-Jie Du
Qin Ma, Department of General Surgery, Fuling Hospital Affiliated to Chongqing University, Chongqing 408000, China
Jin-Jie Du, Department of Geriatrics, Fuling Hospital Affiliated to Chongqing University, Chongqing 408000, China
Author contributions: Ma Q and Du JJ contributed to manuscript writing, data analysis, and editing. All authors have read and approved the final manuscript.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Jie Du, MM, Doctor, Department of Geriatrics, Fuling Hospital Affiliated to Chongqing University, No. 2 Gaosuntang Road, Fuling District, Chongqing 408000, China. 1369343220@qq.com
Received: February 22, 2024 Revised: March 9, 2024 Accepted: April 3, 2024 Published online: May 16, 2024 Processing time: 73 Days and 7.3 Hours
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.
CASE SUMMARY
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.
CONCLUSION
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.
Core Tip: Acute lower gastrointestinal bleeding (LGIB) is common, however, appendiceal bleeding is extremely rare. The diagnosis of appendiceal bleeding is challenging because of its rarity and lack of related guidelines and consensus. Colonoscopy is extremely important, and bowel preparation is not routinely recommended for patients with acute LGIB. Laparoscopic appendectomy is the most appropriate treatment for appendiceal bleeding.
