| Healed Appendicitis
|
Etiology
•See acute appendicitis
|
Pathogenesis
•See acute appendicitis,
|
Epidemiology
•See acute appendicitis
|
General Gross Description
•This uncommon
lesion commonly resembles a normal appendix on external examination
•The lumen shows fibrous obliteration
•Some cases with marked fibrosis show mild widening of the appendix with an
increased grey white appearance to the serosa
•Examples:
|
General Microscopic Description
•Partial fibrous replacement of the muscularis propria with or without
some resolving chronic inflammation is required for the diagnosis as well as fibrous or fibrofatty obliteration of the lumen
•Fibrofatty obliteration of the lumen alone is not considered to represent
healed appendicitis and its cause is unknown
•Examples:
|
Clinical Correlation
•Healed appendicitis is rarely found, usually in an appendix incidentally
removed
•A previous history of abdominal pain or symptoms consistent with
undiagnosed acute appendicitis can often be elicited
|
References
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 823-824
Search Medline at National Library of Medicine
Please be patient during transfer. Medline will open in a new window. To return, close the Medline Window
| Healed Appendicitis
| | Synopsis by: Martin Nadel M.D. (T66000M49000)[193]
| |