KMID : 0359020080370060447
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Korean Journal of Gastrointestinal Endoscopy 2008 Volume.37 No. 6 p.447 ~ p.452
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A Case of Crohn¡¯s Disease with an Initial Presentation of Granulomatous Appendicitis
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Cha Jae-Myung
Lee Joung-Il Joo Kwang-Ro Jung Sung-Won Shin Hyun-Phil Hew Woo-Young Choi Sung-Il
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Abstract
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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.
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KEYWORD
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Appendix, Crohn¡¯s disease, Granuloma, Granulomatous appendicitis
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