A complete hemostasis of an appendiceal bleeding in a dialysis patient by an endoscopic traction method using endoscopic clips

A 65-year-old Japanese male presented with a substantial amount of bright red and burgundy rectal bleeding. A colonoscopy confirmed the presence of fresh blood and coagulation in the orifice of the appendix. A suitable position was found using an endoscopic hood to visualize the exposed vessel clearly. We placed two hemo-clips on the appendix orifice at opposite sides of the exposed vessel and then stirred them with an endoscopic hood to visualize the exposed vessel clearly. Finally, we placed other two hemo-clips near the exposed vessels and carried out a complete hemostasis with vessel thrombosis.