1例以下消化道出血(LGIB)为表现的阑尾出血

Appendiceal bleeding:an unusual case of lower gastrointestinal bleeding (LGIB)

下消化道出血(lower gastrointestinal bleeding,LGIB)是发生在Treitz韧带以下的消化道出血,可发生于小肠、结肠、直肠及肛管等部位,发生原因多样,但阑尾出血在临床上较为罕见。本文报道1例以LGIB为表现入院的阑尾出血患者,并结合内镜下诊断、治疗和相关文献分析阑尾出血诊治过程的难点和要点。

Lower gastrointestinal bleeding(LGIB)refers to hemorrhage into the gastrointestinal tract distal to the ligament of Treitz,including the small bowels,colon,rectum and anal canal.There are various kind of diseases lead to LGIB.However,the bleeding of appendix is a rare condition in clinical settings.This article reports a case that hospitalized with LGIB,later diagnosed with appendiceal hemorrhage under colonoscopy.We further discuss the difficulties and key points of diagnosis and treatment of appendiceal bleeding based on endoscopic data and related literatures.