Common causes of lower gastrointestinal bleeding include diverticular disease, vascular disease, inflammatory bowel disease, neoplasms, and hemorrhoids. Lower gastrointestinal bleeding of appendiceal origin is extremely rare. We report a case of lower gastrointestinal bleeding due to angiodysplasia of the appendix. A 72-year-old man presented with hematochezia. Colonoscopy showed active bleeding from the orifice of the appendix. We performed a laparoscopic appendectomy. Microscopically, dilated veins were found at the submucosal layer of the appendix. The patient was discharged uneventfully. Although lower gastrointestinal bleeding of appendiceal origin is very rare, clinicians should consider it during differential diagnosis.

Citations

Citations to this article as recorded by  

• Appendiceal bleeding caused by vascular malformation: A case report
  Qin Ma, Jin-Jie Du
  World Journal of Clinical Cases.2024; 12(14): 2457.     CrossRef
• Appendiceal bleeding, a rare yet important cause of lower gastrointestinal bleed
  Ayman Tabcheh, Johny Salem, Karim Zodeh, Ammar Ghazale
  European Journal of Case Reports in Internal Medicine.2024;[Epub]     CrossRef
• WITHDRAWN: Appendiceal bleeding caused by vascular malformation: A case report and literature review
  Qin Ma, Jinjie Du
  International Journal of Surgery Case Reports.2023; : 108903.     CrossRef
• Clinical features, treatments and prognosis of appendiceal bleeding: a case series study
  Xiao-cun Xing, Jin-lin Yang, Xue Xiao
  BMC Gastroenterology.2023;[Epub]     CrossRef
• Angiodysplasia of the appendix: a diagnostic challenge and the importance of colonoscopy
  Obiajulu Johnson, Naomi Mackenzie, Jamil Choudhury, Sanjay Furtado
  BMJ Case Reports.2023; 16(12): e255498.     CrossRef
• Appendiceal bleeding: A case report
  Sheng-Yue Zhou, Mao-Dong Guo, Xiao-Hua Ye
  World Journal of Clinical Cases.2022; 10(18): 6314.     CrossRef
• Appendiceal bleeding in an elderly male: a case report and a review of the literature
  Yuto Maeda, Seiya Saito, Mayuko Ohuchi, Yuka Tamaoki, Jiro Nasu, Hideo Baba
  Surgical Case Reports.2021;[Epub]     CrossRef
• Acute Eosinophilic Appendicitis: A Rare Cause of Lower Gastrointestinal Hemorrhage
  So Ra Ahn, Joo Hyun Lee
  The Korean Journal of Gastroenterology.2021; 78(2): 134.     CrossRef
• Appendix bleeding with painless bloody diarrhea: A case report and literature review
  Wanqun Chen, Hong Qiu, Xiaojun Yang, Jinwei Zhang
  Open Medicine.2019; 14(1): 735.     CrossRef

Citations

Citations to this article as recorded by  

• Minimally invasive approach for retrorectal tumors above and below S3: a multicentric tertiary center retrospective study (MiaRT study)
  T. Bardol, R. Souche, C. Druet, M. M. Bertrand, C. Ferrandis, M. Prudhomme, F. Borie, J.-M. Fabre
  Techniques in Coloproctology.2024;[Epub]     CrossRef
• Chordoma: an update on the pathophysiology and molecular mechanisms
  Xin Sun, Francis Hornicek, Joseph H. Schwab
  Current Reviews in Musculoskeletal Medicine.2015; 8(4): 344.     CrossRef

Citations

Citations to this article as recorded by  

• Development of a novel electrochemical biosensor based on plastic antibodies for detection of STEAP1 biomarker in cancer
  Margarida Carvalho, Rui M. Gomes, Sandra Moreira Rocha, Jorge Barroca-Ferreira, Claudio J. Maia, Lucía Guillade, Miguel A. Correa-Duarte, Luís A. Passarinha, Felismina T.C. Moreira
  Bioelectrochemistry.2023; 152: 108461.     CrossRef
• CEA-delta could be a biomarker of tumor phenotype, clinical stage, and chemotherapeutic response in rectal cancer with OCT4-positive cancer stem cells
  Ivan David Lozada-Martinez, Maria Paz Bolaño-Romero, Lina Lambis-Anaya, Yamil Liscano, Amileth Suarez-Causado
  Frontiers in Oncology.2023;[Epub]     CrossRef
• Prognostic Significance of Preoperative Serum Carcinoembryonic Antigen Varies with Lymph Node Metastasis Status in Colorectal Cancer
  Jing Jia, MinZhe Li, Wenhao Teng, Lin Wang, Weidong Zang, Jun Xiao, Ying Chen, Dan Zhao
  Journal of Oncology.2021; 2021: 1.     CrossRef
• Accessing new prognostic significance of preoperative carcinoembryonic antigen in colorectal cancer receiving tumor resection: More than positive and negative
  Zerong Cai, Jian Xiao, Xiaosheng He, Jia Ke, Yifeng Zou, Yufeng Chen, Xianrui Wu, Xiaoling Li, Lei Wang, Jianping Wang, Ping Lan, Xiaojian Wu
  Cancer Biomarkers.2017; 19(2): 161.     CrossRef

Citations

Citations to this article as recorded by  

• ExtrAperitoneaL Plasty vs Intraperitoneal oNlay mEsh in ventral hernia repair – a multi-center randomized controlled trial: the ALPINE study protocol
  Julian Süsstrunk, Johannes Baur, Rosita Sortino, Jörg Filser, Kim Herzog, Daniel C. Steinemann, Beat P. Müller, Fiorenzo V. Angehrn
  International Journal of Surgery Protocols.2024;[Epub]     CrossRef
• Onlay Versus Sublay Mesh Repair for Incisional Hernias: A Systematic Review
  Chirag Pereira, Shankar Gururaj
  Cureus.2023;[Epub]     CrossRef
• Incisional hernias post cytoreductive surgery/peritonectomy and hyperthermic intraperitoneal chemotherapy: a systematic review and meta-analysis
  B. M. Mac Curtain, W. Qian, H. C. Temperley, A. J. Simpkin, Z. Q. Ng
  Hernia.2023; 27(5): 1067.     CrossRef
• Elective incisional hernia repair: lower risk of postoperative wound infection with laparoscopic versus open repair
  Serene Si Ning Goh, Kaushal Amitbhai Sanghvi, Aaryan Nath Koura, Jaideepraj Krishnaraj Rao, Aung Myint Oo
  Singapore Medical Journal.2023; 64(2): 105.     CrossRef
• Use of polyvinylidene fluoride (PVDF) meshes for ventral hernia repair in emergency surgery
  A. Sánchez-Arteaga, L. Tallón-Aguilar, J. Tinoco-González, E. Perea del-Pozo, A. Navas-Cuellar, J. Padillo-Ruíz
  Hernia.2021; 25(1): 99.     CrossRef
• Factors predicting prolonged hospitalization after abdominal wall hernia repair - a prospective observational study
  H Shankar, Sathasivam Sureshkumar, Balakrishnan Gurushankari, Gubbi Samanna Sreenath, Vikram Kate
  Turkish Journal of Surgery.2021; 37(2): 96.     CrossRef
• Is there a role for prophylactic mesh in abdominal wall closure after emergency laparotomy? A systematic review and meta-analysis
  F. A. Burns, E. G. Heywood, C. P. Challand, Matthew J. Lee
  Hernia.2020; 24(3): 441.     CrossRef
• Parastomal hernias causing symptoms or requiring surgical repair after colorectal cancer surgery—a national population-based cohort study
  Mathilda Tivenius, Pia Näsvall, Gabriel Sandblom
  International Journal of Colorectal Disease.2019; 34(7): 1267.     CrossRef

Citations

Citations to this article as recorded by  

• A Rare Cause of Small Bowel Obstruction: A Case Report
  Piaopiao Chen, Qiang Hu, Jinfeng Wu, Yuanshui Sun
  Frontiers in Surgery.2022;[Epub]     CrossRef
• A Magnesium Oxide Bezoar
  Masaya Iwamuro, Shunsuke Saito, Masao Yoshioka, Haruo Urata, Kumiko Ueda, Kazuhide Yamamoto, Hiroyuki Okada
  Internal Medicine.2018; 57(21): 3087.     CrossRef

Mesenteric cysts are rare intra-abdominal tumors. Mesenteric cysts are usually asymptomatic and are incidentally detected during physical or radiological examination. Although uncommon, complications such as infection, bleeding, torsion, rupture and intestinal obstruction cause an acute abdomen. Spontaneous infection is a very rare complication. We present a case of infected mesenteric cysts in the ascending colon, which caused an acute abdomen. A 26-year-old woman was admitted to our hospital with acute abdominal pain. She had a painful mass in the right abdomen on physical examination. Abdominal computed tomography showed a hypodense cystic mass with septation at the mesenteric region of the ascending colon. A laparotomy revealed two cystic tumors at the mesenteric region of the ascending colon. She underwent a right hemicolectomy. The two cysts were filled with a yellowish turbid fluid. The walls of both two cysts were lined with a thin fibrotic membrane without any epithelial cell. They were diagnosed as psuedocysts with E. coli infection. Mesenferic cysts may cause life-threatening complications. Mesenteric cyst, even if it is asymptomatic and was diagnosed incidentally, should be removed completely.

Citations

Citations to this article as recorded by  

• Infected Mesenteric Cysts: A Rare Cause of Abdominal Pain
  Abhishek S Satpathy, Kailash C Mohapatra
  Cureus.2024;[Epub]     CrossRef
• Non-organ mesothelial cyst of the abdominal cavity. Clinical observation
  I. V. Matveev, M. A. Danilov, N. S. Karnaukhov, A. V. Maksimenko, A. V. Leontiev, A. M. Valieva, V. V. Tsvirkun
  Surgery and Oncology.2023; 13(3): 44.     CrossRef
• Sigmoid mesenteric cyst of urogenital origin: A rare cause of bilateral hydroureter
  Allan M. F. Kwok, Neryan A. Thomas, Stephen R. Smith
  ANZ Journal of Surgery.2022; 92(4): 884.     CrossRef
• Bleed into an Undiagnosed Mesenteric Cyst Following Mesh Repair for Incisional Hernia
  Riju Ramachandran, Vaishnavi Gunasekaran, Anoop Vasudevan Pillai, Biju Chandran
  Kerala Surgical Journal.2021; 27(1): 105.     CrossRef
• A case report: Acute abdominal pain caused by a mesenteric cyst in a 20 years old female patient
  Irene Cantarero Carmona, José Fernando Trebollé, Daniel Milian García, María José Luesma Bartolomé
  Annals of Medicine and Surgery.2020; 50: 28.     CrossRef
• Perforated Mesenteric Cyst with Sepsis and Neurological Complication in a 9 Month Old Child
  Mandal KC, Saha D, Halder P, Chakraborty P, Debnath B, Mukhopadhyay B
  Asploro Journal of Pediatrics and Child Health.2020; 2(1): 30.     CrossRef
• Mesenteric cyst: an uncommon cause of acute abdomen
  Tamara G. Mullaney, Basil D'Souza
  ANZ Journal of Surgery.2019;[Epub]     CrossRef
• Mesenteric Cysts of Ascending, Descending, and Sigmoid Mesocolons: a Unique Case
  S. K. Pattanaik
  Indian Journal of Surgery.2018; 80(4): 382.     CrossRef
• Mesenteric cystic lymphangioma: a case report
  Alireza Mohammadzadeh, Fatemeh Samiee-rad, Kamran Soleimanitadi
  Comparative Clinical Pathology.2018; 27(2): 545.     CrossRef
• Acute Abdominal Pain Caused by an Infected Mesenteric Cyst in a 24-Year-Old Female
  Davy R. Sudiono, Joep B. Ponten, Frank M. Zijta
  Case Reports in Radiology.2016; 2016: 1.     CrossRef
• Pseudoquiste mesentérico infectado en yeyuno: reporte de un caso
  Martín Adrián Bolívar-Rodríguez, Marcel Antonio Cazarez-Aguilar, Eduardo Esaú Luna-Madrid, Fred Morgan-Ortiz
  Cirugía y Cirujanos.2015; 83(4): 334.     CrossRef
• Infected jejunal mesenteric pseudocyst: A case report
  Martín Adrián Bolívar-Rodríguez, Marcel Antonio Cazarez-Aguilar, Eduardo Esaú Luna-Madrid, Fred Morgan-Ortiz
  Cirugía y Cirujanos (English Edition).2015; 83(4): 334.     CrossRef
• A case of mesenteric cyst confused with ovarian endometrioma
  Se Ik Kim, Young Dae Kim, Hye Seung Lee, Byung Chul Jee
  Korean Journal of Obstetrics & Gynecology.2012; 55(9): 683.     CrossRef
• Ovarian undifferentiated carcinoma with voluminous mesenteric presentation
  Rosa Angélica Salcedo-Hernández, Leonardo Saúl Lino-Silva, David Cantú de León, María Delia Pérez-Montiel, Kuauhyama Luna-Ortiz
  International Journal of Surgery Case Reports.2012; 3(11): 551.     CrossRef
• A case of mesenteric cyst confused with ovarian endometrioma
  Se Ik Kim, Young Dae Kim, Hye Seung Lee, Byung Chul Jee
  Korean Journal of Obstetrics & Gynecology.2012; 55(9): 683.     CrossRef