EP.TU.435A Rare Case of Granulomatous Appendicitis

Abstract

Abstract Granulomatous appendicitis is a rare form of appendicitis due to a variety of causes such a foreign body, fungi, parasites, mycobacteria, Yesinia, Crohn's pathology and delayed appendicectomy. Definitive diagnosis necessitates histopathological analysis. We present an unusual case of granulomatous appendicitis in a young gentleman, incidentally detected at histopathology, along with a brief literature review. Patient presented with a classical clinical history and examination findings suggestive of acute appendicitis and underwent an emergency laparoscopic appendicectomy, followed by an uneventful post-operative recovery. Histopathological examination showed features of acute on chronic transmural inflammation with epithelioid granuloma, confirming diagnosis of granulomatous appendicitis. We hereby, aim to emphasize the significance of increased awareness required among general surgeons and pathologists, as patients with granulomatous appendicitis needs to be investigated further due to the likelihood of them having an underlying Crohn’s disease or developing it in future.