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Background: Crohn's disease (CD) is a chronic transmural inammation and could be misdiagnosed as appendicitis, infectious enterocolitis, Meckel's diverticulitis, or mesenteric adenitis. The aim of this presentation was to improve the diagnostic tools of CD. Case presentation: A 54-year-old man presented to a government hospital due to severe progressive right lower quadrant abdominal pain associated with fever. He was diagnosed as acute appendicitis. Exploratory laparotomy was done, but the patient was not improved. Further medical attention was sought. Histopathological examinations of the appendix raised the possibility of inammatory bowel disease. Full history, complete physical examinations, advanced lab tests, imaging, and good response to treatment conrmed the diagnosis of Crohn's disease. Physicians must consider differential diagnosis by taking a good history, performin Conclusion: g a well-focused physical examination, and order specic investigations to conrm the diagnosis.
Chandramohan et al. (Mon,) studied this question.