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Crohn's disease of the appendix.
J McCue1, M J Coppen, S A Rasbridge
1Department of Surgery, Whittington Hospital, London.
Annals of the Royal College of Surgeons of England
|September 1, 1988
Summary
Eight patients with undiagnosed Crohn's disease of the appendix underwent appendicectomy and remained disease-free. This suggests a potentially milder Crohn's disease or a distinct condition, granulomatous appendicitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Crohn's disease is a chronic inflammatory bowel condition.
- Appendiceal involvement in Crohn's disease is uncommon.
- Isolated Crohn's disease of the appendix can be challenging to diagnose pre-operatively.
Purpose of the Study:
- To report on patients with apparently isolated Crohn's disease of the appendix.
- To evaluate the long-term outcomes following appendicectomy for this condition.
Main Methods:
- Retrospective review of eight patients undergoing appendicectomy.
- Diagnosis of Crohn's disease of the appendix was made post-operatively.
- Follow-up assessment for disease recurrence.
Main Results:
- Eight patients were identified with Crohn's disease of the appendix.
- All patients underwent appendicectomy between 1978 and 1986.
- No patient showed signs of disease recurrence during follow-up.
Conclusions:
- Appendicectomy may be a curative treatment for isolated Crohn's disease of the appendix.
- This presentation might represent a less aggressive form of Crohn's disease.
- Alternatively, it could be a distinct entity, granulomatous appendicitis.