A Case of Appendiceal Crohn's Disease in Which a Laparoscopic Appendectomy Was Performed

作者：Hayama Tamuro; Matsuda Keiji; Shibuya Hajime; Akahane Takuya; Horiuchi Atsushi; Shimada Ryu; Aoyagi Yoshiko; Nakamura Keisuke; Yamada Hideki; Ishihara Soichiro; Nozawa Keijiro; Watanabe Toshiaki^*

来源：International Surgery, 2010, 95(4): 338-342.

• Crohn's disease
• Appendiceal Crohn's disease
• Appendicitis
• Inflammatory bowel disease

A 74-year-old female had occasionally experienced right lower abdominal pain in the past. She underwent a barium enema examination during a medical checkup, which revealed a wall irregularity around the appendix, but the appendix itself was not visualized. The patient was referred to our hospital for possible appendiceal neoplasm. Colonoscopy revealed a tumor-like protrusion with marked redness at the entrance to the appendix. Pathologic analysis of biopsy specimens revealed only inflammatory cells. Differential diagnosis of appendiceal Crohn's disease or appendiceal neoplasm was made, and laparoscopic appendectomy was performed. Pathologic examination revealed inflammation in all layers of the appendiceal wall and noncaseating epithelioid cell granuloma, and a diagnosis of appendiceal Crohn's disease was made. The postoperative course was uneventful, and the patient was discharged from the hospital 3 days after surgery. No sign of recurrence has been observed up to now, 6 months after surgical treatment.

• 出版日期2010-12