노인 환자에서 대량의 혈변을 보였던 대장 용종 출혈 2예

• Published in: Annals of geriatric medicine and research pp. 86 - 89
• Main Authors: 김혜린, 강현모, 추명수, 이광복, 남관우, 이계성, 곽형종
• Format: Journal Article
• Language: Korean
• Published: 대한노인병학회 01.06.2013
• Subjects: 가정의학
• ISSN: 2508-4798; 2508-4909
• DOI: 10.4235/jkgs.2013.17.2.86

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. KCI Citation Count: 3