Payan H M, Gilbert E F, Hafez R
Dis Colon Rectum. 1981 Sep;24(6):432-6. doi: 10.1007/BF02626777.
Granulomatous appendicitis as an isolated pathologic entity unassociated with systemic disease is extremely rare. Many such cases in the past have been called "primary tuberculous appendicitis." Others have been called "chronic appendicitis" or "Crohn's disease." Recent information indicates that Yersinia pseudotuberculous bacillus could also cause granulomas in the appendix. Within the past ten years the authors have come across three cases of granulomatous appendicitis. A review of the literature and retrospective study of the authors' cases suggest that the causative agent in many of these could be Yersinia. However, the authors believe that as long as there is no positive proof of the cause, such lesions should be considered granulomatous appendicitis.
作为一种与全身性疾病无关的孤立病理实体，肉芽肿性阑尾炎极为罕见。过去许多此类病例被称为“原发性结核性阑尾炎”。其他一些则被称为“慢性阑尾炎”或“克罗恩病”。最近的资料表明，假结核耶尔森杆菌也可在阑尾中引起肉芽肿。在过去十年中，作者遇到了三例肉芽肿性阑尾炎。对文献的回顾以及对作者病例的回顾性研究表明，其中许多病例的病原体可能是耶尔森菌。然而，作者认为，只要病因没有确凿证据，此类病变就应被视为肉芽肿性阑尾炎。
