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Difference between revisions of "Adenovirus appendicitis"
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'''Adenovirus appendicitis''' is a rare inflammatory condition of the [[appendix]]. | |||
==General== | |||
*Rare type of appendicitis in children. | |||
*Classically found in association with intussusception or mesenteric adenitis . | |||
**Uncommonly presents as an [[acute appendicitis]].<ref name=pmid17990936>{{Cite journal | last1 = Grynspan | first1 = D. | last2 = Rabah | first2 = R. | title = Adenoviral appendicitis presenting clinically as acute appendicitis. | journal = Pediatr Dev Pathol | volume = 11 | issue = 2 | pages = 138-41 | month = | year = 2008 | doi = 10.2350/07-06-0299.1 | PMID = 17990936 }}</ref> | |||
*Caused by ''[[Adenovirus]]''. | |||
==Microscopic== | |||
Features:<ref name=pmid17990936>{{Cite journal | last1 = Grynspan | first1 = D. | last2 = Rabah | first2 = R. | title = Adenoviral appendicitis presenting clinically as acute appendicitis. | journal = Pediatr Dev Pathol | volume = 11 | issue = 2 | pages = 138-41 | month = | year = 2008 | doi = 10.2350/07-06-0299.1 | PMID = 17990936 }}</ref> | |||
*Lymphoid hyperplasia - key feature. | |||
*+/-Adenovirus inclusions; "smudge cells". | |||
Notes: | |||
*The classic finding of appendicitis (neutrophils infiltrating into the muscularis propria) may be absent.<ref name=pmid17990936/> | |||
DDx: | |||
*[[Negative appendectomy]] | |||
===Image=== | |||
*[http://wiki.medpedia.com/Image:Ab14.jpg?filetimestamp=20091014175858 Smudge cell (medpedia.com)]. | |||
==IHC== | |||
*Adenovirus +ve = '''diagnostic'''. | |||
==See also== | |||
*[[Vermiform appendix]]. | |||
*[[Acute appendicitis]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Diagnosis]] | |||
[[Category:Vermiform appendix]] | |||