EJMCR. 2019; 3(1): 33-36

Appendiceal Crohn’s disease: a case report

Authors: Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas.

ABSTRACT

Crohn’s disease confined to the appendix is uncommon and is estimated to be 0.2 – 1.8% of all appendicectomies. Case Presentation: Herein, we report a 13 - year - old female who presented in the emergency department with typical symptoms and signs of acute appendicitis and elevated inflammatory markers. An abdominal ultrasound was performed which corroborated the initial diagnosis of acute appendicitis. Consequently, the patient underwent an appendicectomy. On operation, appendix was found to be enlarged, swollen and with marked thickening of the appendiceal wall. The terminal ileum and the caecum were normal. A drain was placed because of the probable leaking from the appendiceal stamp, which was impossible to bury. Histological findings indicated the diagnosis of the appendiceal Crohn’s disease. Postoperatively, the patient recovered without complications. Conclusion: In rare situation of Appendiceal Crohn's disease, the treatment of choice is appendicectomy and no further treatment is needed.

Keywords:
Crohn’s disease, acute appendicitis, appendicectomy, histological findings, prognosis.


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Appendiceal Crohn’s disease: a case report


Authors
Maria Alexandra Kefala
Department of Pediatrics, General Hospital ‘G. Xatzikosta’, Ioannina, Greece
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Kostas Tepelenis
Department of Surgery, General Hospital ‘G. Xatzikosta’, Ioannina, Greece
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Giorgios Loridas
Department of Surgery, General Hospital ‘G. Xatzikosta’, Ioannina, Greece
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Spyridon Koulas

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Correspondence to:
. Kostas Tepelenis, Department of Surgery, General Hospital ‘G. Xatzikosta’, Ioannina, Greece; kostastepelenis@gmail.com

Publication history
Published online 01 Jan 1970
Received 14 Oct 2018
Revised 06 Dec 2018
Accepted 12 Dec 2018
Published in print 31 Jan 2019

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Pubmed Style

Kefala MA, Tepelenis K, Loridas G, Koulas S, . Appendiceal Crohn’s disease: a case report. EJMCR. 2019; 3(1): 33-36. doi:10.24911/ejmcr/173-1539256417


Web Style

Kefala MA, Tepelenis K, Loridas G, Koulas S, . Appendiceal Crohn’s disease: a case report. http://www.ejmcr.com/?mno=12325 [Access: June 24, 2019]. doi:10.24911/ejmcr/173-1539256417


AMA (American Medical Association) Style

Kefala MA, Tepelenis K, Loridas G, Koulas S, . Appendiceal Crohn’s disease: a case report. EJMCR. 2019; 3(1): 33-36. doi:10.24911/ejmcr/173-1539256417


Vancouver/ICMJE Style

Kefala MA, Tepelenis K, Loridas G, Koulas S, . Appendiceal Crohn’s disease: a case report. EJMCR. (2019), [cited June 24, 2019]; 3(1): 33-36. doi:10.24911/ejmcr/173-1539256417


Harvard Style

Kefala, M. A., Tepelenis, . K., Loridas, . G., Koulas, . S. & (2019) Appendiceal Crohn’s disease: a case report. EJMCR, 3 (1), 33-36. doi:10.24911/ejmcr/173-1539256417


Turabian Style

Kefala, Maria Alexandra, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas, and . 2019. Appendiceal Crohn’s disease: a case report. European Journal of Medical Case Reports, 3 (1), 33-36. doi:10.24911/ejmcr/173-1539256417


Chicago Style

Kefala, Maria Alexandra, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas, and . "Appendiceal Crohn’s disease: a case report." European Journal of Medical Case Reports 3 (2019), 33-36. doi:10.24911/ejmcr/173-1539256417


MLA (The Modern Language Association) Style

Kefala, Maria Alexandra, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas, and . "Appendiceal Crohn’s disease: a case report." European Journal of Medical Case Reports 3.1 (2019), 33-36. Print. doi:10.24911/ejmcr/173-1539256417


APA (American Psychological Association) Style

Kefala, M. A., Tepelenis, . K., Loridas, . G., Koulas, . S. & (2019) Appendiceal Crohn’s disease: a case report. European Journal of Medical Case Reports, 3 (1), 33-36. doi:10.24911/ejmcr/173-1539256417


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