肉芽肿性阑尾炎（GA）是阑尾壁的肉芽肿性炎症。它通常是特发性的；然而，它也可能与许多疾病有关，例如克罗恩病、寄生虫感染、结核病或异物。患者，11岁，男性，有腹痛、胆汁性呕吐病史3个月，右下腹压痛。他的白细胞计数为 8.6 x103/μL。腹部超声检查被认为显示腹甲阑尾炎，并进行了阑尾切除术。镜下可见阑尾壁增厚、水肿、纤维化和淋巴浸润。由于未检测到导致 GA 的疾病，因此该患者被评估为特发性 GA。当阑尾质地坚硬，难以与周围组织分离时，应在发生恶性肿瘤之前考虑进行阑尾切除术，特别是在儿科年龄组。在决定根治性手术之前，应进行阑尾切除术。© 版权所有 2024，Sisli Etfal 医院医疗通报。

Granulomatous appendicitis (GA) is granulomatous inflammation of the appendix wall. It is generally idiopathic; however, it may also be associated with many diseases such as Crohn's disease, parasitic infections, tuberculosis, or foreign bodies. An 11-year-old male patient, with a 3-month history of abdominal pain and bilious vomiting, had right lower quadrant abdominal tenderness. His white blood cell count was 8.6 x103/µL. An abdomen ultrasound was considered to show plastron appendicitis and an appendectomy was performed. Microscopically, thickening of the appendix wall with edema, fibrosis and lymphoid infiltration was observed. The patient was evaluated as idiopathic GA since no disease was detected that caused GA. When the appendix has a firm consistency and is difficult to separate from the surrounding tissues, GA should be considered before malignancy, particularly in the pediatric age group. An appendectomy should be performed before deciding on radical surgery.© Copyright 2024 by The Medical Bulletin of Sisli Etfal Hospital.