Postoperative Complicated Appendectomy Revealing Crohn’s Disease in a Pediatric Patient

A 13-year-old boy initially diagnosed with acute appendicitis was found to have Crohn's disease after postoperative complications. Histopathological examination of the appendix revealed acute granulomatous appendicitis, a rare condition in children, associated with Crohn's disease in only 5-10% of cases. The patient developed an entero-cutaneous fistula post-surgery, requiring further surgical intervention. The case underscored the importance of thorough histopathological examination of appendectomy specimens to identify underlying conditions like Crohn's disease. The patient was symptom-free after one year with appropriate medical management, highlighting that acute appendicitis could be an early indicator of Crohn's disease in children.