Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 447-452.
육아종성 충수돌기염으로 초기 발현한 크론병 1예
경희대학교 의과대학 내과학교실, *외과학교실
A Case of Crohn's Disease with an Initial Presentation of Granulomatous Appendicitis
Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D., Woo Young Hew, M.D. and Sung Il Choi, M.D.*
Departments of Internal Medicine and *Surgery, Kyunghee University College of Medicine, Seoul, Korea
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. (Korean J Gastrointest Endosc 2008;37:447-452)
Key Words: Appendix, Crohn's disease, Granuloma, Granulomatous appendicitis
주요어: 충수돌기, 크론병, 육아종, 육아종성 충수돌기염
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