Naschitz J E, Yeshurun D, Rosner I, Rozenbaum M, Misselevich I, Boss J H
Department of Medicine, Bnai-Zion Medical Center, Haifa, Israel.
J Clin Gastroenterol. 1995 Dec;21(4):290-4. doi: 10.1097/00004836-199512000-00008.
The clinical presentation of acute appendicitis and the idiopathic granulomatous variety are, as a rule, indistinguishable. Five patients with idiopathic granulomatous appendicitis, treated during past decade, had histological acute and chronic appendicitis abounding with granulomas. Investigations not disclosing a systemic or enteric granulomatous disease and the patients' long-term complete postoperative recovery support the diagnosis of idiopathic granulomatous appendicitis.
通常情况下，急性阑尾炎和特发性肉芽肿性阑尾炎的临床表现难以区分。在过去十年中接受治疗的5例特发性肉芽肿性阑尾炎患者，其组织学检查显示为急性和慢性阑尾炎，伴有大量肉芽肿。检查未发现全身性或肠道肉芽肿性疾病，且患者术后长期完全康复，这些都支持特发性肉芽肿性阑尾炎的诊断。
