Clinical features of 241 ileocecal inflammatory mass patients

Abstract

Objective To investigate the etiology and clinical characters of ileocecal inflammatory mass and to improve the diagnosis and therapy of ileocecal inflammatory mass. Methods From July 2006 to July 2011, the data of ileocecal inflammatory mass cases were collected, including disease history, clinical manifestations, complications, imaging results, colonscopy results, pathological results and diagnosis. The clinical characters were summarized. Results A total of 241 cases with ileocedal inflammatory mass were collected and 83 cases of them were Crohnrs disease, 79 cases were appendicitis with periappendiceal abscess, 54 cases were intestinal tuberculosis, eight cases were intestinal malignant lymphoma and 17 cases were undefined. The main manifestations of 85 patients were abdominal pain, right inferior abdominal mass and fever, among which 56 patients were Crohn~s disease. Among 90 patients with surgical operation, 44 patients were Crohn＇s disease, among which 12 patients received operation because of appendicitis with periappendiceal abscess at first while the pathological examination after operation for the recurrence of ileocecal inflammatory masses proved Crohnrs disease. During the course of disease, 69 cases had complications of intestinal obstruction, in whom 44 cases were Crohn＇s disease. Nine cases had intestinal fistula, 24 cases had upper gastrointestinal ulcers, one case had impetigo, and all of the above cases were Crohn＇s disease. Conclusions The common etiologies of ileocecal inflammatory mass were Crohn＇s disease. Ileocecal inflammatory mass recurrence after surgery, ileocecal inflammatory mass complicated with intestinal obstruction and abenteric manifestations were more common in Crohn＇s disease. Key words: Crohn＇s disease; Ileum; Intestinal obstruction; Appendicitis; Abdominal pain