Related Experiment Videos
Complicated Acute Appendicitis Conservatively Treated in Two Patients With Crohn's Disease: The Role of Intestinal
Cataletti Giovanni1, Gridavilla Daniele1, Nylund Kim2,3
1Gastroenterology Unit, Department of Biomedical and Clinical Sciences, "L. Sacco" Hospital, University of Milano, Milan, Italy.
Abstract:
According to the most recent guidelines, uncomplicated acute appendicitis could be treated conservatively using broad-spectrum antibiotics, but if radiological signs of appendix rupture are present, appendectomy should be considered as first-line treatment. There is limited evidence in literature regarding the non-operative management of complicated acute appendicitis, particularly in the subset of patients with Crohn's disease. Intestinal and contrast-enhanced ultrasound appear pivotal to both diagnosing complications and promptly identifying the non-responding patients. We describe two cases of complicated acute appendicitis, successfully treated with broad-spectrum antibiotic therapy and tight monitoring with both intestinal and contrast-enhanced ultrasound, in patients with Crohn's disease.
Related Concept Videos
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Appendicitis
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...