Cargando…
A therapeutic barium enema is a practical option to control bleeding from the appendix
BACKGROUND: Acute 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 therap...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020223/ https://www.ncbi.nlm.nih.gov/pubmed/24156777 http://dx.doi.org/10.1186/1471-230X-13-152 |
_version_ | 1782316032309854208 |
---|---|
author | Konno, Youkou Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Shimoda, Mizue Hayashi, Akihiro Muto, Momotaro Inoue, Mitutaka Sakamoto, Jun Oikawa, Kensuke Ueno, Nobuhiro Inaba, Yuhei Moriichi, Kentaro Kohgo, Yutaka |
author_facet | Konno, Youkou Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Shimoda, Mizue Hayashi, Akihiro Muto, Momotaro Inoue, Mitutaka Sakamoto, Jun Oikawa, Kensuke Ueno, Nobuhiro Inaba, Yuhei Moriichi, Kentaro Kohgo, Yutaka |
author_sort | Konno, Youkou |
collection | PubMed |
description | BACKGROUND: Acute 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 PRESENTATION: A 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. CONCLUSIONS: A therapeutic barium enema is a useful procedure to control bleeding from the appendix and to avoid emergency surgery, such as partial cecectomy and hemicolectomy. |
format | Online Article Text |
id | pubmed-4020223 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40202232014-05-15 A therapeutic barium enema is a practical option to control bleeding from the appendix Konno, Youkou Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Shimoda, Mizue Hayashi, Akihiro Muto, Momotaro Inoue, Mitutaka Sakamoto, Jun Oikawa, Kensuke Ueno, Nobuhiro Inaba, Yuhei Moriichi, Kentaro Kohgo, Yutaka BMC Gastroenterol Case Report BACKGROUND: Acute 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 PRESENTATION: A 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. CONCLUSIONS: A therapeutic barium enema is a useful procedure to control bleeding from the appendix and to avoid emergency surgery, such as partial cecectomy and hemicolectomy. BioMed Central 2013-10-25 /pmc/articles/PMC4020223/ /pubmed/24156777 http://dx.doi.org/10.1186/1471-230X-13-152 Text en Copyright © 2013 Konno et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 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. |
spellingShingle | Case Report Konno, Youkou Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Shimoda, Mizue Hayashi, Akihiro Muto, Momotaro Inoue, Mitutaka Sakamoto, Jun Oikawa, Kensuke Ueno, Nobuhiro Inaba, Yuhei Moriichi, Kentaro Kohgo, Yutaka A therapeutic barium enema is a practical option to control bleeding from the appendix |
title | A therapeutic barium enema is a practical option to control bleeding from the appendix |
title_full | A therapeutic barium enema is a practical option to control bleeding from the appendix |
title_fullStr | A therapeutic barium enema is a practical option to control bleeding from the appendix |
title_full_unstemmed | A therapeutic barium enema is a practical option to control bleeding from the appendix |
title_short | A therapeutic barium enema is a practical option to control bleeding from the appendix |
title_sort | therapeutic barium enema is a practical option to control bleeding from the appendix |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020223/ https://www.ncbi.nlm.nih.gov/pubmed/24156777 http://dx.doi.org/10.1186/1471-230X-13-152 |
work_keys_str_mv | AT konnoyoukou atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT fujiyamikihiro atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT tanakakazuyuki atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT sakataniaki atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT shimodamizue atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT hayashiakihiro atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT mutomomotaro atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT inouemitutaka atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT sakamotojun atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT oikawakensuke atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT uenonobuhiro atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT inabayuhei atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT moriichikentaro atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT kohgoyutaka atherapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT konnoyoukou therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT fujiyamikihiro therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT tanakakazuyuki therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT sakataniaki therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT shimodamizue therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT hayashiakihiro therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT mutomomotaro therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT inouemitutaka therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT sakamotojun therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT oikawakensuke therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT uenonobuhiro therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT inabayuhei therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT moriichikentaro therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix AT kohgoyutaka therapeuticbariumenemaisapracticaloptiontocontrolbleedingfromtheappendix |