A giant appendix is an extremely rare and improbable finding during surgery
in suspected cases of acute appendicitis. Although this condition is prima
rily suggestive of neoplasia, it is usually due to an inflammatory or infec
tious disease. We report a case of Crohn's disease limited to the appendix,
which was diagnosed after a short right ileocolectomy. Only 156 similar di
agnoses have been reported in the literature to date. This disease appears
to have a benign course and therefore differs from classical Crohn's ileoco
litis. For this reason, these patients do not require any specific investig
ation or follow-up. (C) 2000 Editions scientifiques et medicales Elsevier S
AS.