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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 108348
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.108348
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.108348
Misdiagnosis of Crohn’s disease as appendicitis: A case report
Wen-Qian Wang, Department of Ultrasound in Medicine, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu 322000, Zhejiang Province, China
Jin-Peng Yang, Jia-Wen Dong, Department of Ultrasound in Medicine, Nanxun People's Hospital, Nanxun 313009, Zhejiang Province, China
Ya-Bo Chen, Department of Ultrasound in Medicine, Ningbo No. 6 Hospital, Ningbo 315000, Zhejiang Province, China
Co-first authors: Wen-Qian Wang and Jin-Peng Yang.
Co-corresponding authors: Jia-Wen Dong and Ya-Bo Chen.
Author contributions: Wang WQ, Yang JP contributed to manuscript writing and editing and data collection. Both Dong JW and Chen YB contributed to conceptualization and supervision of the manuscript as the co-corresponding authors; All authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Bo Chen, MD, Department of Ultrasound in Medicine, Ningbo No. 6 Hospital, No. 1059 Zhongshan East Road, Yinzhou District, Ningbo 315000, Zhejiang Province, China. chenyabo2024@163.com
Received: April 18, 2025
Revised: May 23, 2025
Accepted: July 21, 2025
Published online: September 27, 2025
Processing time: 159 Days and 0.6 Hours
Revised: May 23, 2025
Accepted: July 21, 2025
Published online: September 27, 2025
Processing time: 159 Days and 0.6 Hours
Core Tip
Core Tip: Crohn’s disease (CD) is a chronic inflammatory condition that can affect any part of the gastrointestinal tract. In recent years the incidence of CD has increased. Gastrointestinal ultrasound (GIUS) features in patients with CD are specific and include segmental bowel wall thickening, mesenteric edema and thickening, and bowel stenosis. When the identifications of these features are combined with clinical symptoms, a high diagnostic accuracy can be achieved. The use of GIUS for the initial diagnosis and evaluation of disease activity and complications in patients with CD is increasingly common.