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. 2019 Oct 2:14:735-739.
doi: 10.1515/med-2019-0084. eCollection 2019.

Appendix Bleeding with Painless Bloody Diarrhea: A Case Report and Literature Review

Wanqun Chen  1 , Hong Qiu  1 , Xiaojun Yang  1 , Jinwei Zhang  2
Affiliations

Appendix Bleeding with Painless Bloody Diarrhea: A Case Report and Literature Review

Wanqun Chen et al. Open Med (Wars). .

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.

Keywords: Appendix bleeding; Granulomatous appendicitis; Painless bloody diarrhea.

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Conflict of interest statement

Conflict of interest: The authors state no conflict of interest.

Figures

Figure 1
Figure 1
No lesion was found in the Contrast-enhanced CT and the appendix displayed normal.
Figure 2
Figure 2
Colonoscopy showed that blood came from the appendiceal orifice with time. (A) Irrigation washed away the blood. (B) Oozing bright blood puffed at the appendiceal orifice. (C) Repetitive irrigation couldn’t clear away the blood. (D) After about 10 seconds, oozing bright blood flowed away from the appendiceal orifice.
Figure 3
Figure 3
The histology of the appendix after surgery. (A) Inflammatory cells infiltrating. (B) A large number of red blood cells could be seen. (C) Ulcer, inflammatory cells and granulomas were visible. (D-F) Scattered noncaseating granulomas could be seen.
See this image and copyright information in PMC

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