[Acute appendicitis without Crohn's disease in a patient with inflammatory bowel disease. Case report].
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.
Sierra-Montenegro
Ernesto
E
Departamento de Cirugía de Colon y Recto, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS, Mexico, D.F., Mexico. gesierra21@yahoo.com
Villanueva-Sáenz
Eduardo
E
Rocha-Ramirez
José Luis
JL
Pérez-Aguirre
Javier
J
Fernández-Rivero
José Manuel
JM
Soto-Quirino
René
R
D001064:Appendicitis / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications; D008875:Middle Aged