Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient
Granulomatous appendicitis is a very rare entity in children. It is related to Crohn’s disease in only 5-10% of the cases. The diagnosis of Crohn’s disease is a real challenge in the pediatric population, especially when its initial manifestation is acute appendicitis. Herein, we present a 13-year-o...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1276&context=jmms |
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| author | Augustina Enculescu Mircea Denis Lupusoru Catalin Cirstoveanu Andra-Iulia Suceveanu Liliana Florina Andronache Adrian-Paul Suceveanu Felix Voinea Maria Puscasu |
| author_facet | Augustina Enculescu Mircea Denis Lupusoru Catalin Cirstoveanu Andra-Iulia Suceveanu Liliana Florina Andronache Adrian-Paul Suceveanu Felix Voinea Maria Puscasu |
| author_sort | Augustina Enculescu |
| collection | DOAJ |
| description | Granulomatous appendicitis is a very rare entity in children. It is related to Crohn’s disease in only 5-10% of the cases. The diagnosis of Crohn’s disease is a real challenge in the pediatric population, especially when its initial manifestation is acute appendicitis. Herein, we present a 13-year-old boy admitted for acute appendicitis. The histopathological examination was conclusive for acute granulomatous appendicitis. The development of an entero-cutaneous fistula has complicated the postoperative evolution. The failure of the conservative management required ileocecal resection. The pathological examination revealed Crohn’s disease. The one-year follow-up on the patient din not reveal any complications. We strongly support the importance of the histopathological examination of the entirely removed appendix. Careful assessment of granulomatous appendicitis is needed in order to establish its possible etiology and to initiate the adequate treatment. |
| format | Article |
| id | doaj-art-08ebff409c1e457baace32740c26d966 |
| institution | Kabale University |
| issn | 2392-7674 2392-7674 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-08ebff409c1e457baace32740c26d9662025-08-20T03:49:16ZengMDPI AGJournal of Mind and Medical Sciences2392-76742392-76742021-04-018115416010.22543/7674.81.P154160Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patientAugustina Enculescu0Mircea Denis Lupusoru1Catalin Cirstoveanu2Andra-Iulia Suceveanu3Liliana Florina Andronache4Adrian-Paul Suceveanu5Felix Voinea6Maria Puscasu7EMERGENCY CLINIC HOSPITAL FOR CHILDREN MARIE SKLODOWSKA CURIE, DEPARTMENT OF PATHOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, DEPARTMENT OF PHYSIOLOGY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF MEDICINE, BUCHAREST, ROMANIAOVIDIUS UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF GASTROENTEROLOGY, CONSTANTA, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF MEDICINE, BUCHAREST, ROMANIAOVIDIUS UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF GASTROENTEROLOGY, CONSTANTA, ROMANIAOVIDIUS UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF GASTROENTEROLOGY, CONSTANTA, ROMANIAEMERGENCY CLINIC HOSPITAL FOR CHILDREN MARIE SKLODOWSKA CURIE, DEPARTMENT OF PEDIATRIC SURGERY, BUCHAREST, ROMANIAGranulomatous appendicitis is a very rare entity in children. It is related to Crohn’s disease in only 5-10% of the cases. The diagnosis of Crohn’s disease is a real challenge in the pediatric population, especially when its initial manifestation is acute appendicitis. Herein, we present a 13-year-old boy admitted for acute appendicitis. The histopathological examination was conclusive for acute granulomatous appendicitis. The development of an entero-cutaneous fistula has complicated the postoperative evolution. The failure of the conservative management required ileocecal resection. The pathological examination revealed Crohn’s disease. The one-year follow-up on the patient din not reveal any complications. We strongly support the importance of the histopathological examination of the entirely removed appendix. Careful assessment of granulomatous appendicitis is needed in order to establish its possible etiology and to initiate the adequate treatment.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1276&context=jmmsacute granulomatous appendicitiscrohn’s diseaseinflammatory bowel diseasepediatrics |
| spellingShingle | Augustina Enculescu Mircea Denis Lupusoru Catalin Cirstoveanu Andra-Iulia Suceveanu Liliana Florina Andronache Adrian-Paul Suceveanu Felix Voinea Maria Puscasu Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient Journal of Mind and Medical Sciences acute granulomatous appendicitis crohn’s disease inflammatory bowel disease pediatrics |
| title | Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient |
| title_full | Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient |
| title_fullStr | Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient |
| title_full_unstemmed | Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient |
| title_short | Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient |
| title_sort | postoperative complicated appendectomy revealing crohn s disease in a pediatric patient |
| topic | acute granulomatous appendicitis crohn’s disease inflammatory bowel disease pediatrics |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1276&context=jmms |
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