c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Terminal Ileitis: 1

A D V E R T I S E M E N T

   
 

A 56-year-old woman presented with signs and symptoms of appendicitis. She was taken to the operating room and explored through a right lower quadrant incision. The appendix was normal. The incision was extended and the terminal ileum was eviscerated to look for a Meckle’s diverticulum. There was no Meckels, but the terminal ileum was inflamed and thickened. The right colon and ileum are shown.      

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Terminal Ileitis: 2

A D V E R T I S E M E N T

   
 

A close-up of the ileum is shown.       

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Terminal Ileitis: 3

A D V E R T I S E M E N T

   
 

The extent of ileal involvement is shown. The appendix was removed and the bowel returned to the abdominal cavity. Terminal ileitis as a presenting form of Crohn’s (see Crohn’s discussion) often resolves without chronic recurrences. If the base of the cecum is not clinically inflamed, the appendix should be removed.      

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This page was last modified on 6/1/2004.