A rare case of appendiceal haemorrhage causing life-threatening haematochezia

Howard H Y Tang; Daming Pan; Andrew Fitzdowse; Aaron Ow; Stephen Chan; Jason S C Tan

doi:10.1093/jscr/rjae705

A rare case of appendiceal haemorrhage causing life-threatening haematochezia

J Surg Case Rep. 2024 Dec 17;2024(12):rjae705. doi: 10.1093/jscr/rjae705. eCollection 2024 Dec.

Authors

Howard H Y Tang^{1

2

3}, Daming Pan^{1

4}, Andrew Fitzdowse^{1

4}, Aaron Ow⁵, Stephen Chan⁶, Jason S C Tan^{1

4}

Affiliations

¹ Department of General Surgery, Western Health, 160 Gordon Street, Footscray, Victoria 3011, Australia.
² WestSuRG Collaborative, Level 3, WCHRE Building, Sunshine Hospital, 176 Furlong Road, St Albans, Victoria 3021, Australia.
³ Department of Surgery (Western Precinct), The University of Melbourne, Level 3, WCHRE Building, Sunshine Hospital, 176 Furlong Road, St Albans, Victoria 3021, Australia.
⁴ Department of General and Endocrine Surgery, Western Health, 160 Gordon Street, Footscray, Victoria 3011, Australia.
⁵ Department of Medical Imaging, Western Health, 160 Gordon Street, Footscray, Victoria 3011, Australia.
⁶ Dorevitch Pathlogy, Footscray Hospital, 160 Gordon Street, Footscray, Victoria 3011, Australia.

Abstract

Our case involved a 28-year-old man who presented with life-threatening haematochezia. Computed tomography angiogram revealed contrast extravasation from the appendix pooling in the caecum. Management via laparoscopic stapled partial caecectomy was successful. Histopathology revealed focal mild acute appendicitis with focal ulceration to submucosa.

Keywords: appendiceal haemorrhage; caecectomy; haematochezia.

Publication types

Case Reports