Copyright
©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 21, 2005; 11(43): 6891-6893
Published online Nov 21, 2005. doi: 10.3748/wjg.v11.i43.6891
Published online Nov 21, 2005. doi: 10.3748/wjg.v11.i43.6891
Crohn’s disease and recurrent appendicitis: A case report
Ron Shaoul, Yosi Rimar, Jorge Mogilner, Reuven Polak, Michael Jaffe, Department of Pediatrics, Bnai Zion Medical Center, Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
Aurora Toubi, Department of Radiology, Bnai Zion Medical Center, Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
Jorge Mogilner, Department of Pediatric Surgery, Bnai Zion Medical Center, Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
Author contributions: All authors contributed equally to the work.
Correspondence to: Ron Shaoul, MD, Head, Pediatric Day Care Unit, Department of Pediatrics, Bnai Zion Medical Center, 47 Golomb St. POB 4940, Haifa 31048, Israel. shaoul_r@012.net.il
Telephone: +972-4-8359662 Fax: +972-4-8371393
Received: April 10, 2005
Revised: April 23, 2005
Accepted: April 26, 2005
Published online: November 21, 2005
Revised: April 23, 2005
Accepted: April 26, 2005
Published online: November 21, 2005
Abstract
The clinical diagnosis of classic Crohn’s disease (CD) of the small bowel is based on a typical history, tender right lower quadrant fullness or mass, and characteristic radiographic findings of the terminal ileum. Appendicitis may as well present with chronic or recurrent symptoms and this presentation may be confused with CD. We herein describe the case of a young teenage girl with a presumptive diagnosis of CD, who was ultimately diagnosed as having chronic nongranulomatous appendicitis. The literature on the subject is reviewed.
Keywords: Chronic appendicitis; Crohn’s disease; Diagnosis; Terminal ileitis; Adolescent