IJMDC. 2020; 4(6): 1028-1030

Crohn's disease misdiagnosed as appendicitis - a case report

Authors: Hesham Aly Yehia Aly Amin, Samaher Sameer Sajini, Raghad Sami Bakhsh, Ruqiah Abdulwahab Alqurashi, Afnan Ahmad Sulaiman.

ABSTRACT

Background: Crohn's disease (CD) is a chronic transmural inflammation and could be misdiagnosed as appendicitis, infectious enterocolitis, Meckel's diverticulitis, or mesenteric adenitis. The aim of this presentation was to improve the diagnostic tools of CD. Case presentation: A 22-year-old girl presented to a private hospital due to severe progressive right lower quadrant abdominal pain associated with fever and leukocytosis. She was diagnosed as acute appendicitis. Appendectomy was done, but the patient was not improved. Further medical advice was sought in emergency room in Al-Noor-Specialist Hospital after 2 weeks. Histopathological examinations of the appendix raised the possibility of inflammatory bowel disease. Full history, complete physical examinations, advanced lab tests, imaging, and good response to treatment confirmed the diagnosis of Crohn's disease. Conclusion: Physicians must consider differential diagnosis by taking a good history, performing a well-focused physical examination, and order specific investigations to confirm the diagnosis.

Keywords:
Crohnís disease, appendicitis, abdominal pain, misdiagnosis.


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Crohn's disease misdiagnosed as appendicitis - a case report


Authors
Hesham Aly Yehia Aly Amin
Consultant Gastroenterology, Al-Noor Specialist Hospital, Makkah, Saudi Arabia
PubMed articlesGoogle scholar articles

Samaher Sameer Sajini
Medical Student, Umm Al-Qura University, Makkah, Saudi Arabia
PubMed articlesGoogle scholar articles

Raghad Sami Bakhsh
Medical Student, Umm Al-Qura University, Makkah, Saudi Arabia
PubMed articlesGoogle scholar articles

Ruqiah Abdulwahab Alqurashi
Medical Student, Umm Al-Qura University, Makkah, Saudi Arabia
PubMed articlesGoogle scholar articles

Afnan Ahmad Sulaiman
Medical Student, Umm Al-Qura University, Makkah, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. Samaher Sameer Sajini, Medical student at Umm AlQura University, Makkah, Saudi Arabia.; Samaher.sj@outlook.sa

Publication history
Received 27 Apr 2020
Accepted 07 May 2020
Published online 20 May 2020
Published in print 25 Jun 2020

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Pubmed Style

Amin HAYA, Sajini SS, Bakhsh RS, Alqurashi RA, Sulaiman AA. Crohn's disease misdiagnosed as appendicitis - a case report. IJMDC. 2020; 4(6): 1028-1030. doi:10.24911/IJMDC.51-1588009202


Web Style

Amin HAYA, Sajini SS, Bakhsh RS, Alqurashi RA, Sulaiman AA. Crohn's disease misdiagnosed as appendicitis - a case report. http://www.ijmdc.com/?mno=102622 [Access: July 14, 2020]. doi:10.24911/IJMDC.51-1588009202


AMA (American Medical Association) Style

Amin HAYA, Sajini SS, Bakhsh RS, Alqurashi RA, Sulaiman AA. Crohn's disease misdiagnosed as appendicitis - a case report. IJMDC. 2020; 4(6): 1028-1030. doi:10.24911/IJMDC.51-1588009202


Vancouver/ICMJE Style

Amin HAYA, Sajini SS, Bakhsh RS, Alqurashi RA, Sulaiman AA. Crohn's disease misdiagnosed as appendicitis - a case report. IJMDC. (2020), [cited July 14, 2020]; 4(6): 1028-1030. doi:10.24911/IJMDC.51-1588009202


Harvard Style

Amin, H. A. Y. A., Sajini, . S. S., Bakhsh, . R. S., Alqurashi, . R. A. & Sulaiman, . A. A. (2020) Crohn's disease misdiagnosed as appendicitis - a case report. IJMDC, 4 (6), 1028-1030. doi:10.24911/IJMDC.51-1588009202


Turabian Style

Amin, Hesham Aly Yehia Aly, Samaher Sameer Sajini, Raghad Sami Bakhsh, Ruqiah Abdulwahab Alqurashi, and Afnan Ahmad Sulaiman. 2020. Crohn's disease misdiagnosed as appendicitis - a case report. International Journal of Medicine in Developing Countries, 4 (6), 1028-1030. doi:10.24911/IJMDC.51-1588009202


Chicago Style

Amin, Hesham Aly Yehia Aly, Samaher Sameer Sajini, Raghad Sami Bakhsh, Ruqiah Abdulwahab Alqurashi, and Afnan Ahmad Sulaiman. "Crohn's disease misdiagnosed as appendicitis - a case report." International Journal of Medicine in Developing Countries 4 (2020), 1028-1030. doi:10.24911/IJMDC.51-1588009202


MLA (The Modern Language Association) Style

Amin, Hesham Aly Yehia Aly, Samaher Sameer Sajini, Raghad Sami Bakhsh, Ruqiah Abdulwahab Alqurashi, and Afnan Ahmad Sulaiman. "Crohn's disease misdiagnosed as appendicitis - a case report." International Journal of Medicine in Developing Countries 4.6 (2020), 1028-1030. Print. doi:10.24911/IJMDC.51-1588009202


APA (American Psychological Association) Style

Amin, H. A. Y. A., Sajini, . S. S., Bakhsh, . R. S., Alqurashi, . R. A. & Sulaiman, . A. A. (2020) Crohn's disease misdiagnosed as appendicitis - a case report. International Journal of Medicine in Developing Countries, 4 (6), 1028-1030. doi:10.24911/IJMDC.51-1588009202


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