Complicated Acute Appendicitis Conservatively Treated in Two Patients With Crohn's Disease: The Role of Intestinal Ultrasound and Contrast-Enhanced Ultrasound.
Cataletti Giovanni, Gridavilla Daniele, Nylund Kim et al.
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Case in brief
Two patients with Crohn’s disease presented with complicated acute appendicitis. Intestinal ultrasound and contrast-enhanced ultrasound were used to assess the appendiceal complications and monitor response. Both patients were treated successfully with broad-spectrum antibiotics and close ultrasound monitoring, without appendectomy reported.
What made this case unusual
The report describes successful non-operative treatment of complicated appendicitis in patients with Crohn’s disease, a setting for which the authors note limited evidence, with intestinal and contrast-enhanced ultrasound used for diagnosis and monitoring.
Diagnostic / clinical pearl
In these cases, intestinal and contrast-enhanced ultrasound supported assessment of appendiceal complications and close monitoring for treatment response in patients with Crohn’s disease.