Crohn's disease with pathological findings of a granulomatous lesion in the appendix

Crohn's disease is a rare cause of appendicitis. In this report, we describe a case of Crohn's disease that was diagnosed 4 months after surgery for acute appendicitis in a 15-year-old boy. He was followed carefully after surgery, because the pathological findings showed the presence of a...

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Autores principales:	Naoya Sakamoto, Yuuri Nemoto, Kouji Masumoto, Takahiro Kawamura, Susumu Kirimura
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Crohn's disease Appendicitis Granuloma Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/76ef9b37e91e486c9b7bb0889562e042
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spelling	oai:doaj.org-article:76ef9b37e91e486c9b7bb0889562e0422021-11-12T04:33:30ZCrohn's disease with pathological findings of a granulomatous lesion in the appendix2213-576610.1016/j.epsc.2021.102121https://doaj.org/article/76ef9b37e91e486c9b7bb0889562e0422022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003420https://doaj.org/toc/2213-5766Crohn's disease is a rare cause of appendicitis. In this report, we describe a case of Crohn's disease that was diagnosed 4 months after surgery for acute appendicitis in a 15-year-old boy. He was followed carefully after surgery, because the pathological findings showed the presence of a granuloma, which may imply Crohn's disease. At four months after surgery, he visited our hospital with a chief complaint of diarrhea. Lower gastrointestinal endoscopy revealed longitudinal ulcerative lesions in the entire colon. Taken together with the pathological findings of the appendix, the patient was diagnosed with Crohn's disease. The patient is currently on a continuous infliximab regimen.In the present case, although there were no symptoms at the time of surgery, we informed the patient and his parents of the pathology results in advance, and told them to return to our clinic as soon as symptoms appeared. The pathological diagnosis led to an early diagnosis of CD. Although rare, Crohn's disease should be kept in mind as a cause of appendicitis.Naoya SakamotoYuuri NemotoKouji MasumotoTakahiro KawamuraSusumu KirimuraElsevierarticleCrohn's diseaseAppendicitisGranulomaPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102121- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Crohn's disease Appendicitis Granuloma Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Crohn's disease Appendicitis Granuloma Pediatrics RJ1-570 Surgery RD1-811 Naoya Sakamoto Yuuri Nemoto Kouji Masumoto Takahiro Kawamura Susumu Kirimura Crohn's disease with pathological findings of a granulomatous lesion in the appendix
description	Crohn's disease is a rare cause of appendicitis. In this report, we describe a case of Crohn's disease that was diagnosed 4 months after surgery for acute appendicitis in a 15-year-old boy. He was followed carefully after surgery, because the pathological findings showed the presence of a granuloma, which may imply Crohn's disease. At four months after surgery, he visited our hospital with a chief complaint of diarrhea. Lower gastrointestinal endoscopy revealed longitudinal ulcerative lesions in the entire colon. Taken together with the pathological findings of the appendix, the patient was diagnosed with Crohn's disease. The patient is currently on a continuous infliximab regimen.In the present case, although there were no symptoms at the time of surgery, we informed the patient and his parents of the pathology results in advance, and told them to return to our clinic as soon as symptoms appeared. The pathological diagnosis led to an early diagnosis of CD. Although rare, Crohn's disease should be kept in mind as a cause of appendicitis.
format	article
author	Naoya Sakamoto Yuuri Nemoto Kouji Masumoto Takahiro Kawamura Susumu Kirimura
author_facet	Naoya Sakamoto Yuuri Nemoto Kouji Masumoto Takahiro Kawamura Susumu Kirimura
author_sort	Naoya Sakamoto
title	Crohn's disease with pathological findings of a granulomatous lesion in the appendix
title_short	Crohn's disease with pathological findings of a granulomatous lesion in the appendix
title_full	Crohn's disease with pathological findings of a granulomatous lesion in the appendix
title_fullStr	Crohn's disease with pathological findings of a granulomatous lesion in the appendix
title_full_unstemmed	Crohn's disease with pathological findings of a granulomatous lesion in the appendix
title_sort	crohn's disease with pathological findings of a granulomatous lesion in the appendix
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/76ef9b37e91e486c9b7bb0889562e042
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Crohn's disease with pathological findings of a granulomatous lesion in the appendix

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