Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations
The isolated appendiceal Crohn’s disease without preceding bowel symptoms is a rare phenomenon, especially in older patients. In this case report, we present a 60-year-old female with isolated appendiceal Crohn’s disease presenting with acute appendicitis. She presented with classical features of ap...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/5285417 |
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| author | Pamathy Gnanaselvam Dhanushka N. Weerakoon W. A. M. Wijayasuriya Vishva Samidi Mohottala B. M. E. S. Sinhakumara Umesh Jayarajah Anura S. K. Banagala |
| author_facet | Pamathy Gnanaselvam Dhanushka N. Weerakoon W. A. M. Wijayasuriya Vishva Samidi Mohottala B. M. E. S. Sinhakumara Umesh Jayarajah Anura S. K. Banagala |
| author_sort | Pamathy Gnanaselvam |
| collection | DOAJ |
| description | The isolated appendiceal Crohn’s disease without preceding bowel symptoms is a rare phenomenon, especially in older patients. In this case report, we present a 60-year-old female with isolated appendiceal Crohn’s disease presenting with acute appendicitis. She presented with classical features of appendicitis with elevated inflammatory markers. She underwent an appendectomy which showed an excessively swollen, oedematous, and reddish appendix with swelling extending to the base of the caecum. Histological evaluation was suggestive of Crohn’s disease, and subsequent colonoscopy was unremarkable. Following appendectomy, she was asymptomatic without any recurrence of disease. The atypical morphological appearance of the appendix should raise suspicion of Crohn’s disease. This case highlights the importance of histopathological analysis of the specimen, especially in abnormal clinical findings. The prognosis of such patients seems to be good, and additional treatment is rarely needed. |
| format | Article |
| id | doaj-art-e27ab116344549b49999231d8a9704e2 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e27ab116344549b49999231d8a9704e22025-02-03T01:32:45ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/52854175285417Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up RecommendationsPamathy Gnanaselvam0Dhanushka N. Weerakoon1W. A. M. Wijayasuriya2Vishva Samidi Mohottala3B. M. E. S. Sinhakumara4Umesh Jayarajah5Anura S. K. Banagala6Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaThe isolated appendiceal Crohn’s disease without preceding bowel symptoms is a rare phenomenon, especially in older patients. In this case report, we present a 60-year-old female with isolated appendiceal Crohn’s disease presenting with acute appendicitis. She presented with classical features of appendicitis with elevated inflammatory markers. She underwent an appendectomy which showed an excessively swollen, oedematous, and reddish appendix with swelling extending to the base of the caecum. Histological evaluation was suggestive of Crohn’s disease, and subsequent colonoscopy was unremarkable. Following appendectomy, she was asymptomatic without any recurrence of disease. The atypical morphological appearance of the appendix should raise suspicion of Crohn’s disease. This case highlights the importance of histopathological analysis of the specimen, especially in abnormal clinical findings. The prognosis of such patients seems to be good, and additional treatment is rarely needed.http://dx.doi.org/10.1155/2019/5285417 |
| spellingShingle | Pamathy Gnanaselvam Dhanushka N. Weerakoon W. A. M. Wijayasuriya Vishva Samidi Mohottala B. M. E. S. Sinhakumara Umesh Jayarajah Anura S. K. Banagala Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations Case Reports in Surgery |
| title | Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations |
| title_full | Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations |
| title_fullStr | Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations |
| title_full_unstemmed | Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations |
| title_short | Isolated Crohn’s Disease of the Appendix Presenting as Acute Appendicitis in a 60-Year-Old South Asian Female: A Case Report, Review of Literature, and Follow-Up Recommendations |
| title_sort | isolated crohn s disease of the appendix presenting as acute appendicitis in a 60 year old south asian female a case report review of literature and follow up recommendations |
| url | http://dx.doi.org/10.1155/2019/5285417 |
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