Document Detail


Laparoscopic appendectomy for Crohn's disease of the appendix presenting as acute appendicitis.
MedLine Citation:
PMID:  11569518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Crohn's disease confined to the appendix is rare but has been well described in the literature. It can mimic acute appendicitis clinically. After surgical treatment, recurrences of Crohn's disease are rare. We report the first case of treatment by laparoscopic appendectomy of Crohn's disease confined to the appendix. METHODS: A healthy 32-year old man presented with a week-long history of vague lower abdominal pain. Diagnostic work-up, which included CT, enteroclysis, and routine blood work, revealed a patent appendiceal lumen with an inflammatory mass in the right lower quadrant. RESULTS: Diagnostic laparoscopy revealed an inflamed appendix, and a laparoscopic appendectomy was performed, with frozen-section examination revealing Crohn's disease of the appendix. Two years after surgery, the patient has not had a recurrence of symptoms. CONCLUSIONS: Crohn's disease of the appendix can mimic acute appendicitis, although often with a more indolent course. The disease may be treated successfully by laparoscopic appendectomy, with good long-term results.
Authors:
J S Zager; N J Gusani; B G Derubertis; J P Shaw; J P Kaufman; G DeNoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  11     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-09-24     Completed Date:  2002-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
Affiliation:
Department of Surgery. North Shore University Hospital, New York University School of Medicine, Manhasset, USA. jzager@excite.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Appendectomy / methods*
Appendicitis / etiology,  surgery*
Crohn Disease / complications,  surgery*
Humans
Laparoscopy*
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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