Granulomatous appendicitis as an uncommon cause of abdominal pain. Description of a case
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Published on: August 24, 2019
Carmen López Ramos1, Ana Fuentes Coronel1, Santiago Rodríguez Gómez1
1Aparato Digestivo, Hospital Virgen de la Concha (Zamora), España.
Abstract:
Granulomatous appendicitis is an uncommon cause of acute abdomen. Its etiology can be infectious in nature, noninfectious or idiopathic. We present the case of a patient of whom we got to know about due to an urgent colonoscopy. At the cecum, the appendicular fold was thickened and the mucosa had erythema and nodularity. The diagnosis is made by pathology, as in the majority of cases in this entity. The surgical treatment is curative.
Insights
Granulomatous appendicitis, a rare cause of acute abdomen, presents unique diagnostic challenges. Pathology confirms the diagnosis, and surgical treatment offers a cure for this uncommon condition.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Granulomatous appendicitis is an infrequent etiology of acute abdominal pain.
- The causes can be infectious, noninfectious, or idiopathic.
Observation:
- A case is presented where granulomatous appendicitis was identified during an urgent colonoscopy.
- Appendiceal fold thickening, mucosal erythema, and nodularity were observed at the cecum.
Findings:
- Diagnosis of granulomatous appendicitis relies heavily on histopathological examination.
- Surgical intervention is the established curative treatment.
Implications:
- This case highlights the importance of considering granulomatous appendicitis in the differential diagnosis of acute abdomen.
- Accurate pathological diagnosis is crucial for effective management and curative surgical treatment.
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