J Korean Soc Coloproctol.
2006 Oct;22(5):337-340.
Idiopathic Granulomatous Appendicitis: A case report
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Seonam University, Gwangju, Korea. lsmed@hanmail.net
- 2Department of Surgery, College of Medicine, Seonam University, Gwangju, Korea.
Abstract
- Crohn's disease is a chronic condition characterized by a non-specific granulomatous necrosis involving potentially any location in the alimentary tract, but a primary lesion confined to the appendix alone is very rare. It is difficult to discriminate Crohn's appendicitis from acute appendicitis preoperatively because of their clinical similarities. Because Crohn's disease confined to the appendix has a more favorable prognosis than typical Crohn's disease, it is considered a separate disease from Crohn's disease. Recently, the term idiopathic granulomatous appendicitis has gained wide acceptance as a distinct disease entity. We experienced a case of Crohn's disease giving rise to appendicitis or idiopathic granulomatous appendicitis and report a case with a review of the literature.
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