Difficulties during surgery are uncommon situations in appendectomy. For granulomatous appendicitis, literature is insufficient about surgical findings. The procedure of a 17-year-old male patient was a struggle due to adhesions. I thought a surgeon could expect granulomatous diseases by evaluating the macroscopic appearance of the appendix during surgical procedure.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8593883PMC
http://dx.doi.org/10.1002/ccr3.5074DOI Listing

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