Subtotal hepatectomy: A new procedure based on the inferior right hepatic vein
✍ Scribed by H. U. Baer; A. R. Dennison; G. J. Maddern; Professor L. H. Blumgart
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 246 KB
- Volume
- 78
- Category
- Article
- ISSN
- 0007-1323
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✦ Synopsis
appendix in this environment may less often result from tuberculosis, foreign body reaction, fungal infections, sarcoidosis or, rarely, Crohn's d i ~e a s e ~. ' ~.
By contrast, Crohn's disease is the usual cause of granulomatous disease in the vermiform appendix in C a ~c a s i a n s ' ~.
Tissue eosinophilia was seen in six cases and was most prominent in the earlier stages in the absence of significant fibrosis. This is similar to the observation of Lovett-Campbell and Rose3 that the earliest lesions of schistosomiasis of the appendix are granulomas and eosinophilic inflammatory cellular infiltrates.
In summary, the confirmation of appendicular schistosomiasis is purely histological, because there are no pathognomonic clinical or operative findings'. However, schistosomiasis is a distinct entity which must be considered in patients in the tropics with acute appendicitis or chronic recurrent abdominal pain'.