체중감소로 발현한 충수에 국한된 크론병 1예 |
조기성ㆍ조진웅ㆍ정금모ㆍ이영재ㆍ김지웅ㆍ조명진ㆍ강지훈ㆍ오미나 |
예수병원 내과 |
A Case of Crohn's Disease Isolated to the Appendix, Presented with Weight Loss |
Ki Sung Cho, M.D., Jin Woong Cho, M.D., Gum Mo Jung, M.D., Young Jae Lee, M.D., Ji Woong Kim, M.D., Myoung Jin Cho, M.D., Ji Hun Kang, M.D. and Mi Na Oh, M.D. |
Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea |
|
|
Abstract |
|
Granulomatous appendicitis is a rare condition that accounts for less than 0.1∼0.2% of all the cases of appendicitis. The great majority of cases are subacute or recurrent appendicitis and they are treated with interval appendectomy. The remaining causes include Yersinia infection, foreign body reaction, infection by mycobacteria, fungi or parasites, and Crohn's disease isolated to the appendix. Crohn's disease isolated to the appendix has several characteristics such as slow progression, a low recurrence rate and a good prognosis. Crohn's disease isolated to the appendix has recently been called "Idiopathic Granulomatous Appendicitis", and some authors have tried to distinguish it from Crohn's disease involving the appendix. We experienced a case of isolated appendiceal Crohn's disease in a 39-year-old woman and we report on it here along with a review of relevant literature. (Korean J Gastrointest Endosc 2008;37:443-446) |
Key Words:
Appendix, Crohn's disease, Idiopathic granulomatous appendicitis |
주요어:
충수, 크론병, 특발성 육아종성 충수염 |
|
|