Case Report

Volume: 3 | Issue: 1 | Published: Jan 04, 2019 | Pages: 33 - 36 | DOI: 10.24911/ejmcr/173-1539256417

Appendiceal Crohn's disease: a case report


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


Article Info

Authors

Maria Alexandra Kefala

Department of Pediatrics, General Hospital 'G. Xatzikosta', Ioannina, Greece

Kostas Tepelenis

Department of Surgery, General Hospital 'G. Xatzikosta', Ioannina, Greece

Giorgios Loridas

Department of Surgery, General Hospital 'G. Xatzikosta', Ioannina, Greece

Spyridon Koulas

Department of Surgery, General Hospital ‘G. Xatzikosta’, Ioannina, Greece

Publication History

Received: October 14, 2018

Revised: December 06, 2018

Accepted: December 12, 2018

Published: January 04, 2019


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, green


Pubmed Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. Appendiceal Crohn's disease: a case report. EJMCR. 2019; 04 (January 2019): 33-36. doi:10.24911/ejmcr/173-1539256417

Web Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. Appendiceal Crohn's disease: a case report. https://ejmcr.com/articles/1502 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1539256417

AMA (American Medical Association) Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. Appendiceal Crohn's disease: a case report. EJMCR. 2019; 04 (January 2019): 33-36. doi:10.24911/ejmcr/173-1539256417

Vancouver/ICMJE Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. Appendiceal Crohn's disease: a case report. EJMCR. (2019), [cited December 04, 2024]; 04 (January 2019): 33-36. doi:10.24911/ejmcr/173-1539256417

Harvard Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas (2019) Appendiceal Crohn's disease: a case report. EJMCR, 04 (January 2019): 33-36. doi:10.24911/ejmcr/173-1539256417

Chicago Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. "Appendiceal Crohn's disease: a case report." 04 (2019), 33-36. doi:10.24911/ejmcr/173-1539256417

MLA (The Modern Language Association) Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas. "Appendiceal Crohn's disease: a case report." 04.January 2019 (2019), 33-36. Print. doi:10.24911/ejmcr/173-1539256417

APA (American Psychological Association) Style

Maria Alexandra Kefala, Kostas Tepelenis, Giorgios Loridas, Spyridon Koulas (2019) Appendiceal Crohn's disease: a case report. , 04 (January 2019), 33-36. doi:10.24911/ejmcr/173-1539256417