Granulomatous appendicitis progressing to Crohn's disease with bleeding complication.
Granulomatous appendicitis can be idiopathic or due to a number of specific causes. Idiopathic granulomatous appendicitis is regarded as a separate disease entity and usually has a benign course. We report on a case of granulomatous appendicitis, which progressed to fulminant Crohn's colitis shortly after appendicectomy. During the treatment with intravenous steroid, torrential gastro-intestinal bleeding developed and emergency subtotal colectomy had to be performed. The clinical and histological features of the case are presented and the literature on granulomatous appendicitis reviewed.
Ho
Pei
P
Department of Surgery and Department of Pathology, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China.
Law
Wai Lun
WL
Choy
Carolyn
C
Chan
Gavin Shueng-Wai
GS
Chu
Kin Wah
KW
D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001065:Appendix / Q000473:pathology; D003082:Colectomy; D003106:Colon / Q000473:pathology; D003424:Crohn Disease / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006099:Granuloma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans