Annals of Coloproctology

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Case Report
J Korean Soc Coloproctol. 2006;22(5):337-340.
Idiopathic Granulomatous Appendicitis: A case report.
Park, In Hyung , Kim, Woo Jin , Han, Min Suk , Kim, Soo Hang , Sun, Jae Hyung , Park, Jin Suk , Park, Jae Hong , Lee, Soong , Lee, Woong , Kim, Sun Phil
1Department of Internal Medicine, College of Medicine, Seonam University, Gwangju, Korea. lsmed@hanmail.net
2Department of Surgery, College of Medicine, Seonam University, Gwangju, Korea.
Abstract
Crohn's disease is a chronic condition characterized by a non-specific granulomatous necrosis involving potentially any location in the alimentary tract, but a primary lesion confined to the appendix alone is very rare. It is difficult to discriminate Crohn's appendicitis from acute appendicitis preoperatively because of their clinical similarities. Because Crohn's disease confined to the appendix has a more favorable prognosis than typical Crohn's disease, it is considered a separate disease from Crohn's disease. Recently, the term idiopathic granulomatous appendicitis has gained wide acceptance as a distinct disease entity. We experienced a case of Crohn's disease giving rise to appendicitis or idiopathic granulomatous appendicitis and report a case with a review of the literature.

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