Vascular Malformation of the Appendiceal Stump

Abstract
Seven years after an appendectomy a 32-year-old woman presented with massive gatrointestinal tract bleeding. A preoperative selective superior-mesenteric arteriogram revealed a vascular tumor in the right lower quadrant of the abdomen. The tumor proved to be a vascular malformation of the appendiceal stump which had eroded into the lumen of the cecum and was the source of the massive bleeding. THE frustration accompanying exploratory laparotomy for massive gastrointestinal bleeding and failure to find the source of the bleeding is well known to most general surgeons. Experience with a case of massive bleeding from a vascular malformation of the appendiceal stump, seven years after the appendectomy, was sufficiently preplexing to warrant a brief report. If it had not been for a preoperative arteriogram which showed a vascular tumor mass in the right lower quadrant of the abdomen, it is doubtful that the source of bleeding would have been recognized. Report of

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