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

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Article Info

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Abstract

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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.

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Keywords: Crohn's disease, acute appendicitis, appendicectomy, histological findings, prognosis, green

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