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She again presented 2\u2009weeks later with nausea, vomiting, worsening pain, fever, leucocytosis and elevated inflammatory markers. Colonoscopy was pursued with concern for appendicitis versus possible Beh\u04abet\u2019s disease flare, which revealed colonic aphthous ulcers and a large caecal ulcer with associated oedema and ulceration of the appendiceal orifice, consistent with ileocaecal Beh\u04abet\u2019s disease. Antibiotics were discontinued, and she was treated with systemic glucocorticoids with complete resolution of her presenting symptoms. Beh\u04abet\u2019s disease may convincingly mimic appendicitis, and colonoscopy may prevent unnecessary appendectomy in patients with such a presentation.<\/jats:p>","DOI":"10.1136\/bcr-2024-264026","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T16:25:31Z","timestamp":1744734331000},"page":"e264026","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Gastrointestinal Beh\u04abet\u2019s disease mimicking appendicitis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7222-7664","authenticated-orcid":false,"given":"Evan","family":"Manning","sequence":"first","affiliation":[{"name":"Rheumatology, Brooke Army Medical Center, Fort Sam Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica M","family":"Hill","sequence":"additional","affiliation":[{"name":"Rheumatology, Brooke Army Medical Center, Fort Sam Houston, 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