阑尾低级别黏液性肿瘤导致的急性下消化道出血。
Acute lower gastrointestinal bleeding due to low-grade mucinous neoplasm of appendix.
机构信息
Department of General Surgery, Izmir Bozyaka Education and Research Hospital, The University of Health Sciences, Izmir, Turkey.
Department of Gastroenterology, Izmir Ataturk Education and Research Hospital, Katip Celebi University, Izmir, Turkey.
出版信息
Acta Chir Belg. 2022 Oct;122(5):357-360. doi: 10.1080/00015458.2020.1860397. Epub 2020 Dec 16.
INTRODUCTION
Lower gastrointestinal tract (GIT) bleeding originating from the appendix is rare and may be difficult to diagnose.
PATIENTS AND METHODS
In this case report, we present an 88-year-old male patient who was admitted with hematochezia due to appendiceal bleeding. A colonoscopy revealed bleeding in the appendix orifice so an appendectomy was performed, and bleeding did not recur in the postoperative period.
RESULTS
The results of the microscopic examination showed low-grade mucinous neoplasm (LGMN) of the appendix.
CONCLUSION
It should be kept in mind that bleeding may originate from the appendix in patients presenting with GIT bleeding. Our patient is the first to present with an acute lower GIT bleed who was diagnosed as having LGMN in the appendectomy specimen.
简介
起源于阑尾的下消化道（GIT）出血很少见，可能难以诊断。
患者和方法
在本病例报告中，我们介绍了一位 88 岁男性患者，因阑尾出血导致血便而入院。结肠镜检查显示阑尾口出血，因此行阑尾切除术，术后无再出血。
结果
显微镜检查结果显示阑尾低级别黏液性肿瘤（LGMN）。
结论
应当记住，出现 GIT 出血的患者，阑尾可能会出血。我们的患者是首例因 LGMN 在阑尾切除标本中被诊断为急性下 GIT 出血的患者。
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