Green G I, Broadrick G L, Collins J L
Am J Gastroenterol. 1976 Jan;65(1):74-7.
A patient is reported who initially presented with findings simulating acute appendicitis and who was subsequently found to have Crohn's disease isolated to the appendix. Although the hazard of appendectomy in Crohn's disease is well known, it is interesting that none of the known patients with isolated appendiceal Crohn's disease has developed a fistula. Three of the 15 reported cases of Crohn's disease solely involving the appendix developed granulomatous changes involving other regions of the bowel as long as four years following the initial diagnosis. Because of the rarity of this condition, however, specific conclusions regarding the likehood of future recurrence cannot be drawn. We stress increased physician awareness of this entity in order to emphasize long-term follow-up for such patients.
报告了一名患者，其最初表现出类似急性阑尾炎的症状，随后被发现患有仅局限于阑尾的克罗恩病。尽管克罗恩病患者进行阑尾切除术的风险众所周知，但有趣的是，已知的孤立性阑尾克罗恩病患者均未发生瘘管形成。在15例报告的仅累及阑尾的克罗恩病病例中，有3例在初次诊断后长达四年出现了累及肠道其他部位的肉芽肿性改变。然而，由于这种情况罕见，无法得出关于未来复发可能性的具体结论。我们强调医生应提高对该疾病的认识，以便重视对这类患者的长期随访。
