Akhilesh Sapra¹*, Syed Zafar², Kavita Krishnan³, Piyush Somani⁴ and Anju Sapra⁵

¹Specialist Gastrointestinal Surgery, Prime Hospital, Dubai, United Arab Emirates
²Intern, Prime Hospital, Dubai, United Arab Emirates
³Specialist Pathology, Prime Hospital, Dubai, United Arab Emirates
⁴Consultants Gastroenterology, Prime Hospital, Dubai, United Arab Emirates
⁵Specialist Clinical Pathology, Right Health Group, Dubai, United Arab Emirates

*Corresponding Author: Akhilesh Sapra, Specialist Gastrointestinal Surgery Prime Hospital Dubai, United Arab Emirates.

Received: March 17, 2025; Published: April 29, 2025

Abstract

An isolated appendiceal Crohn's disease (CD) after Henoch-Schönlein Purpura (HSP) without any prior bowel symptoms is a rare occurrence. Nonetheless, we demonstrate a pediatric case of isolated appendiceal CD with acute appendicitis in this case report. He was diagnosed with HSP 5 years ago with bloody diarrhea and abdominal pain. On recent hospital visitation, he displayed typical features of appendicitis alongside a rise in inflammatory markers. He underwent a right hemicolectomy, as the edematous swelling extended up to the basal region of the caecum. The histological investigations indicated CD. The patient was asymptomatic following the appendectomy, with no recurrence of the disease. This case emphasizes the need for histopathological assessments, particularly in clinical findings that are unusual and abnormal. It is to be noted that additional therapy is rarely required in such cases as the prognosis seems to be good.

Keywords: x`Crohn’s Disease; Hemicolectomy; Appendicitis; Henoch-Schönlein Purpura

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Citation

Citation: Akhilesh Sapra., et al. “Henoch-Schönlein Purpura Antecedent to Appendiceal Crohn’s Disease: A Rare Case Report". Acta Scientific Clinical Case Reports 6.5 (2025): 13-16.

Copyright

Copyright: © 2025 Akhilesh Sapra.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.