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Case Reports
. 2008 Mar;177(1):77-8.
doi: 10.1007/s11845-007-0050-x. Epub 2007 Jul 13.

Four pathologies in one

A L Gidwani  1 , G Blake
Affiliations
Case Reports

Four pathologies in one

A L Gidwani et al. Ir J Med Sci. 2008 Mar.

Abstract

Background: Acute appendicitis is a frequently encountered entity in emergency surgery. Incidental findings as Meckel's diverticulum or Crohn's disease during this operation are not uncommon.

Methods: Laparotomy revealed a perforated appendix with an incidental Meckel's diverticulum and thickened distal small bowel with fat encroaching the mesentery suggestive of active Crohn's disease. A routine appendicectomy was done and pathology revealed inflamed perforated appendix with an incidental carcinoid within the appendix.

Conclusions: Presence of active Crohn's disease along with an incidental Meckel's diverticulum or acute appendicitis raises controversies in their surgical management. We discuss the issues in managing patients with two or more of these co-existent pathologies.

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