Appendicitis as the initial manifestation of Crohn's disease: radiologic features and prognosis

Multi-Detector CT Findings of Primary Tubercular Appendicitis: A Case Report

“…Acute appendicitis arises from an appendicolith or from the obstruction of the appendix orifice. Other inflammatory diseases that could be involved with the appendix include Crohn's disease and tuberculosis (3,4,6,7). The secondary involvement of the appendix from intestinal tuberculosis is demonstrated by a barium study in the literature (6).…”

Laparoscopic Appendectomy for Crohn's Disease of the Appendix Presenting as Acute Appendicitis

“…The CT findings that suggest a diagnosis of CD of the appendix include a markedly thickened appendiceal wall with appearance of contrast in either a narrowed or normal patent lumen of the appendix, as well as inflammatory changes in the RLQ. 5 Intraoperatively, the appendix appears indurated and chronically inflamed. The diagnosis can be confirmed by frozen section, which reveals ulcerations, noncaseating granulomas, fissures, and transmural inflammation.…”

“…Some case studies find no recurrences of CD symptomatology after removal of the affected appendix, while another report has shown a recurrence rate up to 10% over 8 years of follow-up. 5 Further investigation is warranted to explore the relation between the extent of surgical resection for CD of the appendix (simple laparoscopic appendectomy v an ileocolic resection or cecectomy) and the incidence of recurrence.…”

“…[1][2][3][4][5][6] Although CD is generally a chronic disease of the gastrointestinal tract, some authors have reported no recurrences as much as 7 years after appendectomy for CD of the appendix. 7 Operations described in the literature for this disease include open appendectomy, appendectomy with cecectomy, and ileocolic resection.…”

“…7 Operations described in the literature for this disease include open appendectomy, appendectomy with cecectomy, and ileocolic resection. [1][2][3][4][5][6] We report the first case of CD of the appendix presenting as acute appendicitis treated by laparoscopic appendectomy.…”