Dibbell D G, Kohatsu S, Oberhelman H A
Calif Med. 1967 Oct;107(4):323-6.
For many years surgeons have preached against the removal of the appendix when regional enteritis is present. A high rate of fistulization and abscess formation supposedly follows appendectomy in such circumstances. This was not borne out in a series of cases in which appendectomy was carried out despite regional enteritis, granulomatous colitis and ulcerative colitis. Two fistulae occurred in 23 patients. Neither fistula was from the appendiceal stump. Appendectomy is probably a reasonable procedure when enteritis is present, although judgment should be exercised if there is appendicocecal involvement.
多年来，外科医生一直反对在存在局限性肠炎时切除阑尾。据说在这种情况下进行阑尾切除术后，瘘管形成和脓肿形成的发生率很高。但在一系列病例中，尽管存在局限性肠炎、肉芽肿性结肠炎和溃疡性结肠炎，仍进行了阑尾切除术，结果并非如此。23例患者中有两例发生了瘘管。两个瘘管都不是来自阑尾残端。当存在肠炎时，阑尾切除术可能是一种合理的手术，不过如果阑尾盲肠受累，应谨慎判断。
