Two Cases of Colon Polyp Bleeding With Massive Hematochezia in Elderly Patients.
10.4235/jkgs.2013.17.2.86
- Author:
Hye Reen KIM
1
;
Hyoun Mo KANG
;
Myeong Su CHU
;
Kwang Bok LEE
;
Kwan Woo NAM
;
Gye Sung LEE
;
Hyeong Jong GWAK
Author Information
1. Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea. 83hyerin@naver.com
- Publication Type:Case Report
- Keywords:
Gastrointestinal hemorrhage;
Colonic polyp;
Aspirin
- MeSH:
Aged;
Aspirin;
Colon;
Colonic Polyps;
Colonoscopy;
Europe;
Female;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Incidence;
Male;
Polyps;
SNARE Proteins;
Solar System;
United States
- From:Journal of the Korean Geriatrics Society
2013;17(2):86-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The annual incidence of hospital admissions for lower gastrointestinal bleeding in the United States and Europe is 0.02%. Massive hemorrhage from a solitary colon polyp is an extremely rare case. We report two consecutive patients with a single polyp, which was the source of bleeding. The first case is a 68-year-old male patient who visited Daejeon Sun Hospital with the chief complaint of considerable hematochezia. An 1.2 cm colon polyp with active bleeding was observed on the colonoscopy. The second case is a 74-year-old female patient with symptoms of hematochezia. A blood-clot attached, 3.0 cm sized Yamada type-IV colon polyp was examined on the colonoscopy. One case was a sessile polyp, and the other one was a thick-stalked pedunculated polyp. Both types of polyps were supplied with more vessels than other polyps, and both patients were taking aspirin. The two patients underwent snare polypectomy and were discharged without further bleeding evidence.
