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Suspicious Yersinia granulomatous enterocolitis mimicking appendicitis
  1. Tom Richardson,
  2. Michael Jones,
  3. Youssaf Akhtar,
  4. James Pollard
  1. General Surgery, Royal Bolton Hospital, Bolton NHS Foundation Trust, Bolton, UK
  1. Correspondence to Mr Tom Richardson, tomrichardson{at}


We present the case of a fit and well 12-year-old boy who presented with signs and symptoms suggestive of appendicitis. On laparoscopy, he was found to have a sinister-looking right iliac fossa mass with associated mesenteric lymphadenopathy. He proceeded to have an oncological right hemicolectomy, while the subsequent histology returned an unexpected result. The aim of this report is to highlight an unusual and complex clinical presentation in a young patient presenting with right iliac fossa pain.

  • infection (gastroenterology)
  • inflammatory bowel disease
  • general surgery
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  • Contributors TR and MJJ: involved in case/operation, writing up report and literature search. YA: consultant patient admitted under, and reviewed article prior to submission. JP: second opinion during surgery and reviewed article prior to submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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