J Korean Soc Coloproctol.  1998 Jun;14(2):309-316.

Isolated Crohn's Disease of Appendix: Is It Crohn's Disease or Idiopathic Granulomatous Appendicitis? Report of a case and review of the literature

• Kim MY
• Bong JG
• Lee SY

Abstract

A case of isolated Crohn's disease of appendix is reported. It is a rare disease which commonly mimics the symptoms of acute appendicitis. Review of 221 identical cases previously reported in the world literature revealed slight male predominance(1.17:1) and peak age of incidence in the third decade(24.3 yrs). In contrast to typical Crohn's disease, the rate of postoperative fistula and recurrence was minimal; 1.0% and 3.8%, respectively. Due to these differences, many consider it to be a separate disease entity from Crohn, and a new diagnostic term - "Idiopathic Granulomatous Appendicitis" - has gained wide acceptance in recent years.

Keyword

Crohn's disease; Appendix; Idiopathic Granulomatous Appendicitis

MeSH Terms

Appendicitis*
Appendix*
Crohn Disease*
Fistula
Humans
Incidence
Male
Rare Diseases
Recurrence