Two Cases of Colon Polyp Bleeding With Massive Hematochezia in Elderly Patients

Kim, Hye Reen; Kang, Hyoun Mo; Chu, Myeong Su; Lee, Kwang Bok; Nam, Kwan Woo; Lee, Gye Sung; Gwak, Hyeong Jong

doi:2013.17.2.86

Ann Geriatr Med Res > Volume 17(2); 2013 > Article

Case Report

Journal of the Korean Geriatrics Society 2013;17(2):86-89.
DOI: https://doi.org/10.4235/jkgs.2013.17.2.86 Published online June 30, 2013.

Two Cases of Colon Polyp Bleeding With Massive Hematochezia in Elderly Patients

Hye Reen Kim, Hyoun Mo Kang, Myeong Su Chu, Kwang Bok Lee, Kwan Woo Nam, Gye Sung Lee, Hyeong Jong Gwak

¹Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea. 83hyerin@naver.com
²Department of Pathology, Daejeon Sun Hospital, Daejeon, Korea.

노인 환자에서 대량의 혈변을 보였던 대장 용종 출혈 2예

김혜린¹ · 강현모¹· 추명수¹· 이광복¹· 남관우¹· 이계성¹· 곽형종²

대전 선병원 내과¹, 대전 선병원 병리과²

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.

Key Words: Gastrointestinal hemorrhage, Colonic polyp, Aspirin