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Delayed Bleeding after Rectal Polypectomy: Report of a Case

內視鏡切除直腸息肉後之延遲性出血:一病例報告

摘要


大腸直腸息肉切除後之出血在臨床上偶爾可見。延遲性息肉切除後出血通常發生在息肉切除後天內,很少發生在3星期後。我們報告一病例,以兩天血便表現之直腸出血性息肉,經大腸鏡息肉切除後第24天發生延遲性出血。最後以內視鏡注射法成功地止血。在回顧文獻中,本病例自直腸息肉切除後至發生延遲性息肉切除後出血之時間爲報告中第二長者。

並列摘要


Colonoscopic postpolypectomy hemorrhage is occasionally encountered in clinical practice. Delayed postpolypectomy bleeding usually occurs within 7 days after the procedure, but rarely occurs more than 3 weeks. We report a case with a bleeding rectal polyp that underwent colonoscopic polypectomy with occurrence of delayed hemorrhage on the 24th day after polypectomy. Bleeding from the polypectomy site was successfully treated with endoscopic submucosal epinephrine injection. Reviewing the English literatures, this is the second longest time interval between polypectomy and onset of delayed hemorrhage.

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