An Uncommon Cause of Small Bowel Bleeding from Appendiceal Carcinoma

Massive hematochezia caused by a small bowel lesion is a rare entity. Currently, video capsule endoscopy and balloon-assisted enteroscopy are effective in identifying the source of small intestine bleeding. Herein, we report a case of small bowel bleeding caused by a nonmucinous appendiceal adenocar...

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Bibliographic Details
Published in:Case reports in gastroenterology 2017-04, Vol.11 (1), p.250-255
Main Authors: Boonpipattanapong, Teeranut, Attasaranya, Siriboon, Kayasut, Kanita, Sangkhathat, Surasak, Ovartlarnporn, Bancha
Format: Article
Language:English
Subjects:
Abdomen
Appendiceal carcinoma
Appendix
Cancer
Case and Review
Case reports
Colon
Colonoscopy
Endoscopy
Enteroscopy
Family medical history
Gastroenterology
Gastrointestinal cancer
Massive hematochezia
Medical imaging
Medical prognosis
Metastasis
Mid-gastrointestinal bleeding
Nonmucinous appendiceal adenocarcinoma
Pathology
Patients
Single-balloon endoscopy
Small bowel bleeding
Small intestine
Surgery
Video capsule endoscopy
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Summary:Massive hematochezia caused by a small bowel lesion is a rare entity. Currently, video capsule endoscopy and balloon-assisted enteroscopy are effective in identifying the source of small intestine bleeding. Herein, we report a case of small bowel bleeding caused by a nonmucinous appendiceal adenocarcinoma with ileal invasion which was detected by video capsule endoscopy and single-balloon endoscopy. Despite the advanced disease stage with hepatic and peritoneal metastases, as of September 2016 the patient has had 8 years’ disease-free survival after surgical resection and chemotherapy.
ISSN:1662-0631
1662-0631
DOI:10.1159/000468512