Fig. 1. The endoscopic procedures for an appendiceal bleed. (A) A colonoscopy confirms the presence of fresh blood and coagulation in the orifice of the appendix. (B) Erosion of the appendiceal wall and the presence of an exposed vessel in the appendix are confirmed. (C) The exposed vessel is concealed due to peristalsis. (D) We place two hemo-clips on opposite sides (indicated by the arrow) of the appendix orifice and at opposite sides of the exposed vessel (indicated by the arrowhead). (E) We stir two hemo-clips using an endoscopic hood to visualize the exposed vessel clearly. (F) We place two hemo-clips near the exposed vessels and perform a complete hemostasis with vessel thrombosis (indicated by the arrow).
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