Kostka R
Chirurgická klinika 3. LF UK, Praha.
Rozhl Chir. 1993 Nov;72(8):376-9.
Abdominal pain which is a basic symptom of Crohn's disease was in a group of 53 patients treated in 1981-1982 at the Surgical Clinic of the Third Medical Faculty in Prague 10 the initial symptom in 73.3% of the patients. The inflammation was most frequently in the terminal ileum and in the ileocaecal region, in the authors' group in 49.0% and 30.2% resp. In 18 patients appendectomy was performed, incl. 10 where it was performed a long time before the development of the first complaints caused by Crohn's disease. In these patients the authors do not assume, because of the long symptom-free period, that there existed a direct relationship with Crohn's disease which developed later. In six patients during laparotomy performed on account of pain in the right hypogastrium acute terminal ileitis, the first stage of Crohn's disease, was detected. In two patients the initial finding was granulomatous appendicitis.
腹痛是克罗恩病的基本症状，在1981年至1982年于布拉格第十区第三医学院外科诊所接受治疗的53例患者中，73.3%的患者最初症状为腹痛。炎症最常发生在回肠末端和回盲部，在作者的研究组中分别为49.0%和30.2%。18例患者接受了阑尾切除术，其中10例是在克罗恩病引起的首次症状出现之前很长时间就进行了阑尾切除术。由于这些患者有很长的无症状期，作者不认为其与后来发生的克罗恩病存在直接关系。在6例因右下腹疼痛接受剖腹手术的患者中，检测到了克罗恩病的第一阶段——急性末端回肠炎。2例患者最初的检查结果是肉芽肿性阑尾炎。
