Appendiceal bleeding in an elderly male: a case report and a review of the literature.

Surg Case Rep

Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.

Published: June 2021

AI Article Synopsis

  • * A case involving an elderly male with melena was presented, where appendiceal bleeding was diagnosed through lower gastrointestinal endoscopy, leading to a laparoscopic appendectomy.
  • * Post-surgery, the patient showed no symptoms of melena and was discharged after six days, highlighting the need for prompt and less invasive treatment of appendiceal bleeding.

Article Abstract

Background: The prevalence of acute lower gastrointestinal bleeding has been increased including colonic diverticulitis and angioplasty. However, appendiceal bleeding is extremely rare.

Case Presentation: We present a case of lower gastrointestinal bleeding from the appendix in an elderly male who presented with melena. Appendiceal bleeding was diagnosed using lower gastrointestinal endoscopy, and laparoscopic appendectomy was performed. The patient did not have melena postoperatively, and was discharged 6 days after the surgery.

Conclusion: It is important to distinguish appendiceal bleeding from lower gastrointestinal bleeding and to treat it as soon as possible with less invasiveness.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222427PMC
http://dx.doi.org/10.1186/s40792-021-01234-3DOI Listing

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