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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr12.2008.1343.
Published online Jan 13, 2010. doi:  10.1136/bcr.12.2008.1343
PMCID: PMC3029650
Rare disease
Florid reactive lymphoid hyperplasia of terminal ileum
Venkatesh Kanakala,1 Peter Birch,2 and Ramesh Kasaraneni1
1North Tyneside General Hospital, General Surgery, Rake Lane, North Shields NE29 8NH, UK
2North Tyneside General Hospital, Histopathology, Rake Lane, North Shields NE3 1TW, UK
Venkatesh Kanakala, ven.kanakala/at/
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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