Abstract
We report herein the unusual case of a 55-year-old man who presented with primary Crohn's disease of the appendix with fistulae. In this patient there was no history of previous appendectomy. Although fistula formation around the orifice of the appendix after appendectomy for primary Crohn's disease of the appendix has been observed in a number of long-term follow-up studies, preoperative fistula formation is extremely rare.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Lockhart-Mummery HE, Morson BC (1964) Crohn's disease of the large intestine. Gut 5:493–509
Meyerding EV, Bertram HF (1953) Non-specific granulomatous inflammation (Crohn's disease) of the appendix: A case report. Surgery 34:891–894
Collins DC (1963) 71,000 human appendix specimens: a final report, summarizing a 40-year study. Am J Protol 14:365–381
Bak M, Andersen JC (1987) Crohn's disease limited to the vermiform appendix. Acta Chir Scand 153:441–446
Payan HM, Gilbert EF, Hafez R (1981) Granulomatous appendicitis. Dis Colon Rectum 24:432–436
Yong SS, Gibson P, McCaughey RS, Arcari FA, Bernstein J (1979) Primary Crohn's disease of the appendix. Ann Surg 189(3):334–339
Hobson RW, Howard EW, Tuttle JR, Jenis EH (1973) Crohn's disease of the appendix. Am J Surg 39:349–351
Green GI, Broadrick GL, Colins JL (1976) Crohn's disease of the appendix presenting as acute appendicitis. Am J Gastroenterol 65:74–77
Thrett B, Appelman H (1974) Crohn's disease of the appendix presenting as acute appendicitis. Radiology 110:313–317
Hall JH, Hellier MD (1969) Crohn's disease of the appendix presenting as acute appendicitis. Br J Surg 56:390–392
Allen DC, Biggart JD (1983) Granulomatous disease in the vermiform appendix. J Clin Pathol 36:632–638
Dudley TH, Dean PJ (1993) Idiopathic granulomatous appendicitis, or Crohn's disease of the appendix revisited. Hum Pathol 24(6):595–601
Kawano Y, Kohgetu T, Sakihama K, Yamashiro H, Nagatomo H, Tanigawa A, Ishihara A (1988) Rectal Crohn's disease and appendical Crohn's disease (in Japanese with English abstract). Jpn J Gastroenterol 21(8):2192–2195
Hashiguchi Y, Morita H, Yokoyama T, Kubota Y, Moto T, Morioka Y, Sasaki A, Niki T (1990) Primary Crohn's disease of appendix (in Japanese with English abstract). I To Cho (Stomach Intestine) 25(10):1236–1239
Takami M, Hanada M, Kimura M, Takeuchi N, Kitahara K, Hujimoto T, Shimizu H, Takada T, Okumura Y, Ota T, Fujimi K (1983) Crohn's disease limited to the appendix (in Japanese with English abstract). I To Cho (Stomach Intestine) 18(12):1303–1310
Ariyoshi H, Neki I, Mastumoto N, Oishi H, Taguro A (1984) A case of Crohn's disease confined to the appendix and cecum (in Japanese with English abstract). Jpn J Clin Surg 45:1632–1636
Savin RA, Clausen K, Martin EW Jr, Cooperman M (1979) Chronic and recurrent appendicitis. Am J Surg 137:355–357
Weiss Y, Durst AL (1975) Crohn's disease of the appendix; presentation of a case with review of the literature. Am J Gastroenterol 63:334–339
Muto T (1978) Non-specific ileocecal inflammation showing the similar morphological appearance to intestinal Crohn's disease after appendectomy (in Japanese with English abstract). I To Cho (Stomach Intestine) 13:1633–1636
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Morita, H., Murakami, H., Kawai, S. et al. Appendical fistulae formation as a complication of primary Crohn's disease prior to surgical management: Report of a case. Surg Today 26, 340–344 (1996). https://doi.org/10.1007/BF00311603
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311603