Ho Pei, Law Wai Lun, Choy Carolyn, Chan Gavin Shueng-Wai, Chu Kin Wah
Department of Surgery and Department of Pathology, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China.
ANZ J Surg. 2003 Jul;73(7):554-6. doi: 10.1046/j.1445-1433.2003.02663.x.
Granulomatous appendicitis can be idiopathic or due to a number of specific causes. Idiopathic granulomatous appendicitis is regarded as a separate disease entity and usually has a benign course. We report on a case of granulomatous appendicitis, which progressed to fulminant Crohn's colitis shortly after appendicectomy. During the treatment with intravenous steroid, torrential gastro-intestinal bleeding developed and emergency subtotal colectomy had to be performed. The clinical and histological features of the case are presented and the literature on granulomatous appendicitis reviewed.
肉芽肿性阑尾炎可呈特发性，也可由多种特定病因引起。特发性肉芽肿性阑尾炎被视为一种独立的疾病实体，通常病程良性。我们报告一例肉芽肿性阑尾炎病例，该病例在阑尾切除术后不久进展为暴发性克罗恩结肠炎。在静脉使用类固醇治疗期间，出现了严重的胃肠道出血，不得不进行急诊次全结肠切除术。本文介绍了该病例的临床和组织学特征，并对肉芽肿性阑尾炎的相关文献进行了综述。
