Document Detail

Crohn's disease limited to the appendix.
MedLine Citation:
PMID:  11754865     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Crohn's disease confined to the vermiform appendix is rare. In our study, the incidence was 0.2% of all patients diagnosed with Crohn's disease at La Paz University Hospital, Madrid, Spain, in 20 years. METHODS: Here we review the clinical records of 10 patients with isolated appendiceal Crohn's disease. RESULTS: Preoperative diagnosis was acute appendicitis in all 10 cases, and all patients underwent appendectomy. Postoperative complications were limited to an enterocutaneous fistula in 1 patient. There was no evidence of recurrence during a mean follow-up period of 14.5 years (range 2 to 25 year). CONCLUSIONS: We conclude that Crohn's disease when confined to the appendix is less aggressive than in other sections of the intestine, with a low recurrence rate and incidence of postoperative fistula.
I Prieto-Nieto; J P Perez-Robledo; D Hardisson; J A Rodriguez-Montes; J Larrauri-Martinez; L Garcia-Sancho-Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  182     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-12-28     Completed Date:  2002-01-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  531-3     Citation Subset:  AIM; IM    
Department of General and Digestive Surgery, Virgen de la Luz Hospital, Cuenca, Spain.
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MeSH Terms
Appendicitis / diagnosis
Cecal Diseases / diagnosis*,  surgery
Crohn Disease / diagnosis*,  surgery
Diagnosis, Differential
Postoperative Complications

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