Roth T, Zimmer G, Tschantz P
Service de chirurgie, hôpital universitaire de l'Ile, Berne, Suisse.
Ann Chir. 2000 Sep;125(7):665-7. doi: 10.1016/s0003-3944(00)00260-1.
A giant appendix is an extremely rare and improbable finding during surgery in suspected cases of acute appendicitis. Although this condition is primarily suggestive of neoplasia, it is usually due to an inflammatory or infectious disease. We report a case of Crohn's disease limited to the appendix, which was diagnosed after a short right ileocolectomy. Only 156 similar diagnoses have been reported in the literature to date. This disease appears to have a benign course and therefore differs from classical Crohn's ileocolitis. For this reason, these patients do not require any specific investigation or follow-up.
巨大阑尾在疑似急性阑尾炎的手术中是极其罕见且不太可能出现的发现。虽然这种情况主要提示肿瘤形成,但通常是由炎症或感染性疾病引起的。我们报告一例局限于阑尾的克罗恩病,在进行短程右半结肠切除术后得以诊断。迄今为止,文献中仅报道了156例类似诊断病例。这种疾病似乎病程良性,因此与经典的克罗恩病性回结肠炎不同。出于这个原因,这些患者不需要任何特殊检查或随访。