Ruiz V, Unger S W, Morgan J, Wallack M K
Department of Surgery and Pathology, Mount Sinai Medical Center of Greater Miami, Fla.
Surgery. 1990 Jan;107(1):113-7.
Crohn's disease limited to the appendix is uncommon. The disease may mimic acute appendicitis with fever, leukocytosis, right lower quadrant pain, and occasionally a palpable mass. When Crohn's disease affects the appendix, it typically has a longer clinical period in which the patient has symptoms than do most cases of acute appendicitis. The most common preoperative diagnoses are acute appendicitis and appendiceal abscess. A review of the literature is presented along with our experience in three additional cases of Crohn's disease limited to the appendix. We suggest that Crohn's disease be included in the preoperative differential diagnosis and that extensive intraoperative examination of the gastrointestinal tract be made in any case of suspected appendicitis that has had a protracted preoperative course.
局限于阑尾的克罗恩病并不常见。该疾病可能会模仿急性阑尾炎，出现发热、白细胞增多、右下腹疼痛，偶尔还会有可触及的肿块。当克罗恩病累及阑尾时，与大多数急性阑尾炎病例相比，其临床症状期通常更长。最常见的术前诊断是急性阑尾炎和阑尾脓肿。本文结合我们遇到的另外三例局限于阑尾的克罗恩病病例进行文献综述。我们建议在术前鉴别诊断中纳入克罗恩病，并且对于任何术前病程较长的疑似阑尾炎病例，术中都应进行广泛的胃肠道检查。
