Korean J Gastrointest Endosc > Volume 31(1); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(1): 49-52.
충수돌기에 국한된 크론병 1예
이창배·정성애·염혜정·이종수·조유경·김성은·심기남·김태헌·유 권·문일환
이화여자대학교 의과대학 내과학교실, 의과학연구소
A Case of Crohn's Disease Confined to the Appendix
Chang-Bai Lee, M.D., Sung-Ae Jung, M.D., Hye-Jung Yeom, M.D., Jong-Soo Lee, M.D., Yoo-Kyung Cho, M.D., Seong-Eun Kim, M.D., Ki-Nam Shim, M.D., Tae-Hun Kim, M.D., Kwon Yoo, M.D. and Il-Hwan Moon, M.D.
Department of Internal Medicine, Ewha Womans University College of Medicine, Ewha Medical Research Institute, Seoul, Korea
Abstract
Crohn's disease is a condition of chronic inflammation involving potentially any location in alimentary tract, but it is worldwide the rare when primary lesion with its extent is confined to the appendix alone. Because clinical manifestations of the Crohn's disease of the appendix dose not differ from those of acute appendicitis, it is difficult to diagnose preoperatively or intraoperatively, so it is usually diagnosed by postoperative pathologic examination. Because Crohn's disease confined to the appendix has favorable prognosis than typical Crohn's disease, it is considered a separate disease entity from Crohn's disease, and a new diagnostic term-"idiopathic granulomatous appendicitis"-has gained wide acceptance in recent years. We experienced a case of Crohn's disease confined to the appendix or idiopathic granulomatous appendicitis and review, we reported the care with review of the literatures. (Korean J Gastrointest Endosc 2005;31:49⁣52)
Key Words: Crohn's disease, Appendix, Idiopathic granulomatous appendicitis
주요어: 크론병, 충수돌기, 특발성 육아종성 충수돌기염
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