충수돌기에 국한된 크론병 1예 = A Case of Crohn's Disease Confined to the Appendix

다국어 초록 (Multilingual 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.

국문 초록 (Abstract)

염증성 소화관 질환인 크론병은 소화관의 전장에 걸쳐 어디에서나 발병할 수 있으나, 병변의 원발 부위와 그 범위가 충수돌기에 국한되어 있는 경우는 드물다. 임상적으로 일반적인 급성 충수염과 크게 다르지 않기 때문에 수술 전이나 수술 중에 진단이 되는 경우는 드물며 거의 대부분 수술 후 병리학적 검사로 이루어지게 된다. 충수돌기에 국한된 크론병은 일반적인 크론병에 비해 양호한 예후를 보이므로 최근에는 크론병과 분리하여 특발성 육아종성 충수돌기염으로 불리고 있다. 저자들은 약 1주일간의 복통을 주소로 내원한 46세 남자에서 충수돌기에 국한된 크론병 또는 특발성 육아종성 충수돌기염을 수술 치료를 통하여 진단하고 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

참고문헌 (Reference)

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