Nivatvongs S
Dis Colon Rectum. 1978 Jul-Aug;21(5):361-3. doi: 10.1007/BF02586668.
A case of Crohn's disease of the appendix that simulated a cecal tumor is presented and 27 additional cases are reviewed. Crohn's disease of the appendix most commonly occurs in the younger patient, with 90 per cent in the second and third decades of life. Before operation, appendicitis or an appendiceal abscess is commonly diagnosed. Appendectomy should be performed, if possible; otherwise a limited ileocolectomy should be done. These patients should have a long-term follow-up program because inflammation can develop later in any part of the bowel. Crohn's disease of the appendix should be included in the differential diagnosis of pain or a palpable mass in the right lower quadrant, especially in the young adult patient.
本文报告1例模拟盲肠肿瘤的阑尾克罗恩病病例，并回顾另外27例病例。阑尾克罗恩病最常发生于年轻患者，90%发生在20至30岁。术前通常诊断为阑尾炎或阑尾脓肿。若可能应行阑尾切除术；否则应行有限的回盲部切除术。这些患者应有长期随访计划，因为炎症可在肠道任何部位后期发生。阑尾克罗恩病应纳入右下腹疼痛或可触及肿块的鉴别诊断，尤其是年轻成年患者。
