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Crohn's Disease of the Appendix, Report of a Case, as well as a Review of Previously Reported Cases in Japan Tatsuya Imamura 1 1Department of Internal Medicine, Sada Hospital Keyword: 虫垂Crohn病 , Crohn病 pp.589-594
Published Date 1995/3/25
DOI https://doi.org/10.11477/mf.1403105391
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 A case of Crohn's disease confined to the appendix is presented. The patient, a 43-year-old man, was admitted to the hospital with complaint of pain in the right lower quadrant. Physical examination at that time had revealed guarding and rebound tenderness of the right lower quadrant of the abdomen, but the preoperative impression was that there was a perforation of the appendicitis with peritonitis. A laparatomy was performed and the appendix was found to be inflamed, markedly enlarged and perforated. The appendix measured 5.5 cm in length and 3.5 cm in diameter at its greatest diameter. Histologically, the wall was greatly thickened by inflammatory infiltration and fibrous tissue. The infilrate was composed of lymphocytes, neutrophils, and the presence of epithelioid granulomas. As a result of histological findings, we diagnosed this as a case of Crohn's disease of the appendix. Fistulization occurred two months after appendectomy, and a limited ileocolectomy was performed. Since surgery he had been free of Crohn's disease for the nine year period of follow up until he died from cerebral bleeding.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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