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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
PubMed
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.

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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.

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