Laparoscopic appendectomy for Crohn’s disease of the appendix presenting as acute appendicitis

Jonathan S. Zager, Niraj J. Gusani, Brain G. DeRubertis, Jason P. Shaw, Jarrod P. Kaufman, George DeNoto

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Crohn’s disease confined to the appendix is rare but has been well described in the literature. It can mimic acute appendicitis clinically. After surgical treatment, recurrences of Crohn’s disease are rare. We report the first case of treatment by laparoscopic appendectomy of Crohn's disease confined to the appendix. Methods: A healthy 32-year old man presented with a week-long history of vague lower abdominal pain. Diagnostic work-up, which included CT, enteroclysis, and routine blood work, revealed a patent appendiceal lumen with an inflammatory mass in the right lower quadrant. Results: Diagnostic laparoscopy revealed an inflamed appendix, and a laparoscopic appendectomy was performed, with frozen-section examination revealing Crohn's disease of the appendix. Two years after surgery, the patient has not had a recurrence of symptoms. Conclusions: Crohn's disease of the appendix can mimic acute appendicitis, although often with a more indolent course. The disease may be treated successfully by laparoscopic appendectomy, with good long-term results.

Original languageEnglish (US)
Pages (from-to)255-258
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume11
Issue number4
DOIs
StatePublished - Aug 1 2001

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Appendectomy
Appendicitis
Crohn Disease
Recurrence
Frozen Sections
Laparoscopy
Abdominal Pain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Zager, Jonathan S. ; Gusani, Niraj J. ; DeRubertis, Brain G. ; Shaw, Jason P. ; Kaufman, Jarrod P. ; DeNoto, George. / Laparoscopic appendectomy for Crohn’s disease of the appendix presenting as acute appendicitis. In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A. 2001 ; Vol. 11, No. 4. pp. 255-258.
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Laparoscopic appendectomy for Crohn’s disease of the appendix presenting as acute appendicitis. / Zager, Jonathan S.; Gusani, Niraj J.; DeRubertis, Brain G.; Shaw, Jason P.; Kaufman, Jarrod P.; DeNoto, George.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, Vol. 11, No. 4, 01.08.2001, p. 255-258.

Research output: Contribution to journalArticle

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