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BMJ Case Rep. 2010; 2010: bcr12.2008.1343.
Published online 2010 January 13. doi:  10.1136/bcr.12.2008.1343
PMCID: PMC3029650
Rare disease

Florid reactive lymphoid hyperplasia of terminal ileum


Florid lymphoid hyperplasia in the terminal ileum can present to surgeons as an acute abdominal pain. Only few cases were reported in the literature. Our case illustrates that a rare case of florid lymphoid hyperplasia can present to surgeons as acute appendicitis. During the operation the gross appearance may mimic Crohn’s disease. A limited resection is sufficient to clinch the diagnosis of florid lymphoid hyperplasia / Crohn’s disease. In florid lymphoid hyperplasia limited resection may be curative.

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