DOI: 10.12890/2026_006144

Coil embolization of an appendiceal artery bleed leading to appendicitis and surgical resection

Authors

  • Omar Brijawi Internal Medicine, Mount Carmel Health System, Grove City, USA
  • Katherine Guardado Internal Medicine, Mount Carmel Health System, Grove City, USA
  • Khizar Ghuman Internal Medicine, Mount Carmel Health System, Grove City, USA
  • Frank Epitropoulos Internal Medicine, Mount Carmel Health System, Grove City, USA

OMARBRIJAWI@GMAIL.COM

Keywords

Lower gastrointestinal bleed, appendicitis, appendiceal bleed, coil embolization, appendectomy

Abstract

Background: Appendiceal bleeding is an infrequent cause of lower gastrointestinal bleeding (LGIB), accounting for only 0.014% of cases.
Case report: We present the case of a 48-year-old male on heparin who developed an acute LGIB from the appendicular artery requiring coil embolization and subsequently developed appendicitis.
Conclusion: This case highlights appendicitis as a potential complication of appendiceal artery embolization. Careful patient selection and consideration of alternative approaches, including upfront surgery or endoscopic therapy, are essential in managing appendiceal artery bleeds.

View the entire article

Downloads

References

  1. Saydam S, Molnar M, Vora P. The global epidemiology of upper and lower gastrointestinal bleeding in the general population: a systematic review. World J Gastrointest Surg 2023;15:723–739. doi: 10.4240/wjgs.v15.i4.723
  2. Xing XC, Yang JL, Xiao X. Clinical features, treatments and prognosis of appendiceal bleeding: a case series study. BMC Gastroenterol 2023;23:377. doi: 10.1186/s12876-023-03025-6
  3. Zhou SY, Guo MD, Ye XH. Appendiceal bleeding: A case report. World J Clin Cases 2022;10:6314-6318. doi: 10.12998/wjcc.v10.i18.6314
  4. Siddiqui A, Zafar N, Hakiminezhad M, Jamal Z, Alam I, Khawaja Z. Beyond the Usual Suspects: Appendiceal Bleeding as the Surprising Cause of Lower Gastrointestinal (GI) Bleeding. Cureus 2024;16:e76663. doi: 10.7759/cureus.76663
  5. Oakland K, Chadwick G, East JE, Guy R, Humphries A, Jairath Vet, al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut 2019;68:776-789. doi: 10.1136/gutjnl-2018-317807
  6. Hosse C, Moos M, Becker LS, Sieren M, Müller L, Stoehr F, et al. Trans-arterial embolization for treatment of acute lower gastrointestinal bleeding-a multicenter analysis. Eur Radiol 2025;35:2746-2754. doi: 10.1007/s00330-024-11102-x
  7. Park I, Kwon CI, Ko KH, Hong SP, Park PW. Colonoscopic clipping as a treatment for appendiceal bleeding. Gut Liver 2010;4:411-414. doi: 10.5009/gnl.2010.4.3.411
  8. Crawford LS, Jafri NS, Foote D, Felinski MM, Walker PA, Bajwa KS, et al. Isolated ischaemic appendicitis as a rare complication of selective angioembolization for lower gastrointestinal bleed. ANZ J Surg 2023;93:404-406. doi: 10.1111/ans.17850

Published

2026-01-28

How to Cite

1.
Brijawi O, Guardado K, Ghuman K, Epitropoulos F. Coil embolization of an appendiceal artery bleed leading to appendicitis and surgical resection. EJCRIM [Internet]. 2026 Jan. 28 [cited 2026 Nov. 3];13(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/6144

Most read articles by the same author(s)