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.
Highlights
It’s well known that lower gastrointestinal (GI) bleeding generally refers to bleeding from the colon and anorectum, including bleeding from the small intestine
We reported a case of appendix bleeding with painless bloody diarrhea
We could see the factors of appendix bleeding included inflammation, angiodysplasia, diverticulum,granulomatous appendicitis, tumor and damage of the appendix mucosa which were according with the previous description [2, 3]
Summary
It’s well known that lower gastrointestinal (GI) bleeding generally refers to bleeding from the colon and anorectum, including bleeding from the small intestine (from the level of major duodenal papilla till the distal ileum). The lower GI bleeding stops spontaneously and does not recur, but some cases of lower GI bleeding may be life-threatening [1]. It’s worthy to investigate the rare case of lower GI bleeding to guide for clinical practice. We reported a case of appendix bleeding with painless bloody diarrhea. Through the analysis of clinical features, contrast-enhanced CT findings, angiography findings, colonoscopy findings, surgical outcomes, pathological tissue, patient follow-up and litera-
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