1
|
Zhou SY, Guo MD, Ye XH. Appendiceal bleeding: A case report. World J Clin Cases 2022; 10:6314-6318. [PMID: 35949834 PMCID: PMC9254187 DOI: 10.12998/wjcc.v10.i18.6314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 01/27/2022] [Accepted: 04/24/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Acute lower gastrointestinal bleeding is common in clinical practice, and the colon is responsible for the majority of cases. However, appendiceal bleeding is an extremely rare cause. Appendiceal bleeding due to vascular diseases, such as angiodysplasia and Dieulafoy’s lesion, may result in massive lower gastrointestinal bleeding. Appendectomy is a reliable and effective option for treatment.
CASE SUMMARY A 32-year-old male presented to our hospital with hematochezia that had lasted for 6 h, with approximately 600-800 mL bloody stools and loss of consciousness for a few seconds. Persistent bleeding from the orifice of the appendix was observed by colonoscopy. Following the new diagnosis of appendiceal bleeding, the patient was treated by an emergency laparoscopic appendectomy. Finally, the patient was pathologically diagnosed with appendiceal Dieulafoy’s lesion. The patient was uneventfully discharged, and follow-up 2 wk later showed no evidence of rebleeding.
CONCLUSION Although appendiceal bleeding is a rare cause of acute lower gastrointestinal bleeding, clinicians should consider it during differential diagnosis.
Collapse
Affiliation(s)
- Sheng-Yue Zhou
- Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
| | - Mao-Dong Guo
- Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
| | - Xiao-Hua Ye
- Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
| |
Collapse
|
2
|
Maeda Y, Saito S, Ohuchi M, Tamaoki Y, Nasu J, Baba H. Appendiceal bleeding in an elderly male: a case report and a review of the literature. Surg Case Rep 2021; 7:147. [PMID: 34160703 PMCID: PMC8222427 DOI: 10.1186/s40792-021-01234-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 06/09/2021] [Indexed: 12/16/2022] Open
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.
Collapse
Affiliation(s)
- Yuto Maeda
- grid.274841.c0000 0001 0660 6749Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556 Japan
- grid.415530.60000 0004 0407 1623Department of Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Minami-ku, Kumamoto, 862-0965 Japan
| | - Seiya Saito
- grid.415530.60000 0004 0407 1623Department of Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Minami-ku, Kumamoto, 862-0965 Japan
| | - Mayuko Ohuchi
- grid.415530.60000 0004 0407 1623Department of Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Minami-ku, Kumamoto, 862-0965 Japan
| | - Yuka Tamaoki
- grid.415530.60000 0004 0407 1623Department of Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Minami-ku, Kumamoto, 862-0965 Japan
| | - Jiro Nasu
- grid.415530.60000 0004 0407 1623Department of Surgery, Kumamoto Chuo Hospital, 1-5-1 Tainoshima, Minami-ku, Kumamoto, 862-0965 Japan
| | - Hideo Baba
- grid.274841.c0000 0001 0660 6749Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556 Japan
| |
Collapse
|
3
|
Agostini-Vulaj D, Whitney-Miller CL, Cellini C, Huber AR. Florid Vascular Proliferation of the Small Bowel and Colon, a Potential Masquerader of Malignancy: Report of Three Cases. Int J Surg Pathol 2019; 27:609-612. [PMID: 30942096 DOI: 10.1177/1066896919837665] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Vascular abnormalities and lesions of the small bowel and colon are rare. A florid vascular proliferation (FVP) associated with colon obstruction and intussusception has been described and can mimic malignant vascular tumors such as angiosarcoma. In this article, we report a case of colonic FVP associated with colon obstruction, a case of small bowel FVP associated with a Meckel's diverticulum, and a case of small bowel FVP with intussusception. All cases occurred in older adults (mean 73 years of age, range 62-80 years of age). FVP grossly appeared as a mass-like lesion in one small bowel case, while the other cases did not demonstrate a grossly identifiable mass. Histologically, all cases demonstrated a transmural vascular proliferation with plump endothelial cells. No significant cytologic atypia was seen, and mitotic figures were rare. No recurrence was seen in all cases with an average follow-up of 22 months. It is important to be aware of this entity as it appears to be a nonneoplastic reactive process, unlike some of its histologic mimics.
Collapse
Affiliation(s)
| | | | | | - Aaron R Huber
- 1 University of Rochester Medical Center, Rochester, NY, USA
| |
Collapse
|
4
|
Chen W, Qiu H, Yang X, Zhang J. Appendix Bleeding with Painless Bloody Diarrhea: A Case Report and Literature Review. Open Med (Wars) 2019; 14:735-739. [PMID: 31637304 PMCID: PMC6778395 DOI: 10.1515/med-2019-0084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 07/26/2019] [Indexed: 12/17/2022] Open
Abstract
Appendix bleeding is an uncommon clinical phenomenon. In this article, we reported a case of appendix bleeding with painless bloody diarrhea. With the analysis of clinical features, clinical examination, experimental test and literature review, we diagnosed that the appendix bleeding might be caused by granulomatous appendicitis. This successfully cured case might be a reference for later diagnosis and treatment of appendix bleeding with painless bloody diarrhea.
Collapse
Affiliation(s)
- Wanqun Chen
- Department of Gastroenterology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing400037, China
| | - Hong Qiu
- Department of Gastroenterology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing400037, China
| | - Xiaojun Yang
- Department of Gastroenterology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing400037, China
| | - Jinwei Zhang
- Department of dermatology and cosmetology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing400037, China
- E-mail:
| |
Collapse
|
5
|
Rao P, Sawkar A, Narayanaswamy S, Ghosal N, Sikora SS. Colonic Adenocarcinoma with Florid Vascular Proliferation Related to Intussusception. J Gastrointest Cancer 2017; 50:342-344. [PMID: 29110230 DOI: 10.1007/s12029-017-0020-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Pallavi Rao
- Department of Histopathology, Sakra World Hospital, Sy No 52/2 and 52/3, Deverbeesanahalli, Varthur Hobli, Bangalore, 560103, India.
| | - Anisha Sawkar
- Department of Radiology, Sakra World Hospital, Sy No 52/2 and 52/3, Deverbeesanahalli, Varthur Hobli, Bangalore, 560103, India
| | - Srikanth Narayanaswamy
- Department of Radiology, Sakra World Hospital, Sy No 52/2 and 52/3, Deverbeesanahalli, Varthur Hobli, Bangalore, 560103, India
| | - Nandita Ghosal
- Department of Histopathology, Sakra World Hospital, Sy No 52/2 and 52/3, Deverbeesanahalli, Varthur Hobli, Bangalore, 560103, India
| | - Sadiq S Sikora
- Department of Surgical Gastroenterology, Sakra World Hospital, Sy No 52/2 and 52/3, Deverbeesanahalli, Varthur Hobli, Bangalore, 560103, India
| |
Collapse
|
6
|
Tao LL, Dai Y, Yin W, Chen J. A case report of a renal anastomosing hemangioma and a literature review: an unusual variant histologically mimicking angiosarcoma. Diagn Pathol 2014; 9:159. [PMID: 25102914 PMCID: PMC4149197 DOI: 10.1186/s13000-014-0159-y] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Accepted: 08/02/2014] [Indexed: 12/14/2022] Open
Abstract
Anastomosing hemangioma, a benign vascular neoplasm histologically simulating angiosarcoma, is newly recognized and has been described primarily in the genitourinary tract. Here, we present a case of renal anastomosing hemangioma originating in the left kidney of a 32-year-old Chinese man with detailed computerized tomography (CT) and enhanced CT image information. The patient had no obvious signs and symptoms. The tumor was incidentally found by color Doppler imaging during a routine heath check-up. Subsequently, a detailed CT and an enhanced CT scan were performed. The tumor was well demarcated, and mahogany brown lesions, which measured 2.6 cm in maximum diameter, were observed. Microscopically, the tumor shows a lobular architecture with alternating cellular areas composed of anastomosing sinusoidal capillary-sized vessels lined by hobnail endothelial cells and edematous, hyaline paucicellular areas. Cytologically, the tumor cells were generally bland and exhibited positivity for CD31 and CD34 immunohistochemically. The patient had good status without evidence of tumor recurrence 21 months after the surgery. We suggest that more attention should be focused on this rare renal hemangioma variant and that it should not be over-diagnosed as a malignance, particularly an angiosarcoma. VIRTUAL SLIDES The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_159.
Collapse
Affiliation(s)
- Li-Li Tao
- />Department of Pathology, Perking University Shenzhen Hospital, Shenzhen, Guangzhou Province PR China
| | - Yi Dai
- />Department of Imaging, Perking University Shenzhen Hospital, Shenzhen, Guangzhou Province PR China
| | - Weihua Yin
- />Department of Pathology, Perking University Shenzhen Hospital, Shenzhen, Guangzhou Province PR China
| | - Joan Chen
- />Department of Pathology, Elizabeth hospital, Hongkong, China
| |
Collapse
|