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Granulomatous appendicitis progressing to Crohn's disease with bleeding complication
Author(s) -
Ho Pei,
Law Wai Lun,
Choy Carolyn,
Chan Gavin ShuengWai,
Chu Kin Wah
Publication year - 2003
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1046/j.1445-1433.2003.02663.x
Subject(s) - medicine , appendicitis , fulminant , crohn's disease , complication , chronic granulomatous disease , disease , colectomy , granulomatous disease , surgery , ulcerative colitis , immunology
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 gastrointestinal 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.