Article Text

Rare disease
Florid reactive lymphoid hyperplasia of terminal ileum
  1. Venkatesh Kanakala1,
  2. Peter Birch2,
  3. Ramesh Kasaraneni1
  1. 1
    North Tyneside General Hospital, General Surgery, Rake Lane, North Shields NE29 8NH, UK
  2. 2
    North Tyneside General Hospital, Histopathology, Rake Lane, North Shields NE3 1TW, UK
  1. 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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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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