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


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