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The Appendix, Fistulae, and Pseudopolyps in Crohn’s Disease

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Colorectal Surgery
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Abstract

In 1982 at the age of 9 years, the patient underwent appendectomy for persistent pain in the right iliac fossa. The distal two-thirds of the appendix was described as abnormal with slight enlargement and a vascular reaction on the serosal surface. The terminal 10cm of the ileum was thickened and hyperemic with some fibrin on its surface. The cecum appeared normal. The ileocecal lymph nodes were enlarged. Histological examination of the appendix showed mild nonspecific inflammation. In 1985, the patient was referred with an enterocutaneous fistula that had recently appeared in the appendectomy scar. There was a mass in the right iliac fossa and radiological investigation demonstrated a stricture of the terminal ileum.

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Case 52

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© 2006 Springer Science+Business Media, Inc.

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(2006). The Appendix, Fistulae, and Pseudopolyps in Crohn’s Disease. In: Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/0-387-36941-4_52

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  • DOI: https://doi.org/10.1007/0-387-36941-4_52

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-29081-2

  • Online ISBN: 978-0-387-36941-9

  • eBook Packages: MedicineMedicine (R0)

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