Korean J Gastrointest Endosc.  2008 Dec;37(6):447-452.

A Case of Crohn's Disease with an Initial Presentation of Granulomatous Appendicitis

• Cha JM
• Lee JI
• Joo KR
• Jung SW
• Shin HP
• Hew WY
• Choi SI

Abstract

Crohn's disease is a condition of chronic inflammation that potentially involves any location the in gastrointestinal tract; however, Crohn's disease with the primary lesion confined to just the appendix is very rare through out the world. Physicians may not be able the clinically differentiate Crohn's disease confined to the appendix from acute appendicitis, and it may not be distinguishable from granulomatous appendicitis of other causes, according to the histopathology. Therefore, clinical follow-up for assessing additional manifestations and sometimes further investigations are the only means of differentiating between granulomatous appendicitis of other causes and early Crohn's disease of the appendix. We experienced 26-year-old man who underwent ileocecectomy for a presumed diagnosis of an acute appendicitis, which pathologically resulted in a granulomatous appendicitis. The cause of the granulomatous appendicitis might have been Crohn's disease because the patient subsequently developed other manifestations of Crohn's disease, according to the follow-up colonoscopy findings.

Keyword

Appendix; Crohn's disease; Granuloma; Granulomatous appendicitis

MeSH Terms

Adult
Appendicitis
Appendix
Colonoscopy
Crohn Disease
Follow-Up Studies
Granuloma
Humans
Inflammation