Dung Le Thanh, Hung Nguyen Duy, Phuong Le Thi Hong, Khuong Nguyen Ha, Thien Le Quy, Duy Ngo Quang, Nhu Truong-Thi Ngoc, Duc Nguyen Minh
Department of Radiology, VNU University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.
Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam.
Radiol Case Rep. 2023 Apr 13;18(6):2232-2236. doi: 10.1016/j.radcr.2023.03.035. eCollection 2023 Jun.
Lower gastrointestinal tract bleeds due to appendiceal hemorrhage are extremely rare. This emergency condition requires a multidisciplinary approach to not only give a prompt diagnosis and exclude differential diagnosis but also crucial to proceed with proper intervention and cause of bleeding. In this paper, we report a case of appendiceal hemorrhage in a young male patient who presented with lower gastrointestinal bleeding. The patient was diagnosed with appendiceal hemorrhage by an abdominal computed tomography scan and gastrointestinal tract endoscopy. Postsurgical follow-up was uneventful, and the histopathology confirmed hemorrhagic and no typical inflammatory signs. It suggested that although appendiceal hemorrhage was rare, this condition should be considered one of the causes of lower gastrointestinal bleeding.
因阑尾出血导致的下消化道出血极为罕见。这种紧急情况需要多学科方法，不仅要迅速做出诊断并排除鉴别诊断，而且对于进行适当干预和确定出血原因至关重要。在本文中，我们报告了一例年轻男性患者阑尾出血并伴有下消化道出血的病例。该患者通过腹部计算机断层扫描和胃肠道内窥镜检查被诊断为阑尾出血。术后随访情况良好，组织病理学证实为出血性且无典型炎症迹象。这表明尽管阑尾出血罕见，但应将其视为下消化道出血的原因之一。
