title: [Acute appendicitis without Crohn's disease in a patient with inflammatory bowel disease. Case report].
abstract: BACKGROUND
  Crohn's disease was described for the first time in 1932. The association of acute appendicitis with this disease is very rare and when the cecum is involved, risk of fistula is very high.
  
  
  METHODS
  We present the case of a 48-year-old female who had been diagnosed with Crohn's disease several months earlier. The patient complained of intense abdominal pain in the right lower quadrant and was treated medically without improvement. Thus, laparascopic surgery was decided upon.
  
  
  CONCLUSIONS
  The appendix was affected in 12-16% of all patients with Crohn's disease who had intestinal resection.
  
  
  CONCLUSIONS
  If the cecum is not affected, appendectomy using laparascopic procedure with soft tissue drainage is adequate.
authors.affiliation: Departamento de Cirugía de Colon y Recto, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS, Mexico, D.F., Mexico. gesierra21@yahoo.com
authors.forename: Ernesto
authors.initials: E
authors.lastname: Sierra-Montenegro
authors.forename: Eduardo
authors.initials: E
authors.lastname: Villanueva-Sáenz
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rocha-Ramirez
authors.forename: Javier
authors.initials: J
authors.lastname: Pérez-Aguirre
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Fernández-Rivero
authors.forename: René
authors.initials: R
authors.lastname: Soto-Quirino
mesh_terms: D001064:Appendicitis / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications; D008875:Middle Aged