Jacobson S
Am J Gastroenterol. 1979 Jun;71(6):592-7.
Two cases are reported of Crohn's disease localized to the appendix and manifested as acute appendicitis; after appendectomy a fistula developed. In none of 18 patients with Crohn's disease reported by other authors, where the appendix was the primary site, did a fistula develop postoperatively. When the appendix is the primary site of Crohn's disease the presence of mild inflammation of adjacent organs such as the terminal ileum may be mistakenly attributed to ordinary appendicitis. If, at exploratory laparotomy performed on a tentative diagnosis of appendicitis, Crohn's disease is suspected in the adjacent intestine, it is proposed that appendectomy should be followed by at least 10 days of total parenteral nutrition to minimize the risk of a fistula developing.
报告了两例局限于阑尾且表现为急性阑尾炎的克罗恩病病例；阑尾切除术后形成了瘘管。在其他作者报道的18例以阑尾为主要发病部位的克罗恩病患者中，术后均未形成瘘管。当阑尾是克罗恩病的主要发病部位时，相邻器官如回肠末端的轻度炎症可能会被误诊为普通阑尾炎。如果在因疑似阑尾炎而进行的剖腹探查术中怀疑相邻肠道患有克罗恩病，建议阑尾切除术后至少进行10天的全胃肠外营养，以尽量降低形成瘘管的风险。
