A therapeutic barium enema is a practical option to control bleeding from the appendix

BMC Gastroenterology

Case Report

Jun Sakamoto¹  Kazuyuki Tanaka²  Mitutaka Inoue²  Youkou Konno²  Akihiro Hayashi²  Momotaro Muto²  Mizue Shimoda²  Aki Sakatani²  Kensuke Oikawa³  Yuhei Inaba⁴  Yutaka Kohgo⁴  Kentaro Moriichi⁴  Nobuhiro Ueno⁴  Mikihiro Fujiya⁴ 

[1]Department of Gastroenterology, Sapporo Higashi Tokushukai Hospital, 065-0033, Sapporo, Hokkaido, Japan

[2]Department of Internal Medicine, Engaru-Kosei general Hospital, 099-0404, Engaru, Hokkaido, Japan

[3]Department of pathology, Asahikawa-Kosei general Hospital, 078-8211, Asahikawa, Hokkaidō, Japan

[4]Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, 2-1 Midorigaoka-higashi, 078-8510, Asahikawa, Hokkaido, Japan

关键词: Appendix bleeding;    Barium enema;    Intestinal hemorrhage;    Appendicitis;   

DOI  :  10.1186/1471-230X-13-152

 received in 2012-06-18, accepted in 2013-10-17,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundAcute lower gastrointestinal hemorrhage originating from the appendix is rare and often intractable, because it is almost impossible to approach the bleeding point by endoscopy. We herein describe the first case of bleeding from the appendix, which was successively controlled by a therapeutic barium enema administered into the appendix.Case presentationA 71-year-old male visited our hospital because of melena. He has been receiving an anti-coagulation drug, ticlopidine hydrochloride, for 10 years. By an emergency colonoscopy, a hemorrhage was detected in the appendix, and the lesion responsible for the bleeding was regarded to exist in the appendix. Two hundred milliliters of 50 W/V% barium was sprayed into the orifice of the appendix using a spraying tube. The bleeding could thus be immediately stopped, and a radiological examination revealed the accumulation of barium at the cecum and the orifice of the appendix. The barium accumulation disappeared by the next day, and no obvious anal bleeding was observed. Two weeks after stopping the bleeding from the appendix, an appendectomy was performed to prevent any further refractory hemorrhaging. The patient has had no complaints of any abdominal symptoms or anal bleeding for 10 months.ConclusionsA therapeutic barium enema is a useful procedure to control bleeding from the appendix and to avoid emergency surgery, such as partial cecectomy and hemicolectomy.

【 授权许可】

Unknown   
© Konno et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.