Abstract
Endometriosis is a fairly common entity in women of reproductive age; the most common sites are the ovaries and peritoneal surface. However, involvement of the gastrointestinal tract is uncommon. Endometriosis of the appendix is even rarer and is difficult to diagnose preoperatively. A definitive diagnosis is established by histological examination of the appendix. Here, we report a case of endometriosis of the appendix that manifested as acute appendicitis in a 31 year old woman. After laparoscopic appendectomy, she had a good clinical course without any residual pain postoperatively. We performed 369 appendectomies from 2005 to 2011 and only one (0.27%) case of appendiceal endometriosis was found pathologically.
Keywords:
Acute appendicitis, appendix, vermiformis, endometriosis
References
1
Tumay V, Ozturk E, Ozturk H, et al. Appendiceal Endometriosis Mimicing Acute Appendicitis. Acta Chir Belg 2006; 106: 712-713.
2
Bergvist A. Extragenital endometriosis: a review. Eur J Surg 1992; 158: 7-12.
3
Weed JC, Ray JE. Endometriosis of the bowel. Obstet Gynecol 1987; 69: 727-730.
4
Remorgida V, Ferrero S, Fulchery E, et al. Bowel endometriosis: presentation, diagnosis and treatment. Obst Gynecol Surv 2007; 62: 461-470. doi.org/10.1097/01.ogx.0000268688.55653.5c
5
Sampson JA. Metastatic or embolic endometriosis, due to the menstrual dissemination of endometrial tissue into the venous circulation. Am J Pathol 1927; 3: 93-110.43.
6
Faucheron JL, Pasquier D, Voirin D. Endometriosis of the appendix as an exceptional cause of the acute perforated appendicitis during pregnancy. Colorectal Disease 2008; 10: 518-519. doi.org/10.1111/j.1463-1318.2007.01428.x
7
Gustofson RL, Kim N, Liu S, et al. Endometriosis and the appendix: a case series and comprehensive review of the literature. Fert and Steril 2006; 86: 298-303. doi.org/10.1016/j.fertnstert.2005.12.076
8
Douglas C, Rotimi O. Ekstragenital endometriosis -a clinicopathological review of a Glaskow hospital experience with case illustrations. J Obstet Gynaecol 2004; 24: 804-808. doi.org/10.1080/01443610400009568
9
Astroza G, Faundes V, Nanjari R, et al. Appendiceal endometriosis differentially diagnosed from acute appendicitis. Chin Med J 2010; 123: 1610-1611.
10
Tazaki T, Oue N, Ichicava T, et al. A case of endometriosis of the appendix. Hiroshima J Med Sci 2010; 59: 39-42.
11
Idetsu A, Ojima H, Saito K, et al. Laparoscopic appendectomy for appendiceal endometriosis presenting as acute appendicitis.: report of a case. Surg Today 2007; 37: 510-513. doi.org/10.1007/s00595-006-3440-1
12
Akbulut S, Dursun P, Kocbiyik A, et al. Appendiceal endometriosis presenting as perforated appendicitis: report of a case and review of the literature. Arch Gynecol Obstet 2009; 280: 495-497. doi.org/10.1007/s00404-008-0922-y
13
Sakaguchi N, Ito M, Sano K, et al. İntussusception of the appendix: a report of the cases with different clinical and pathologic features. Pathol Int 1995; 45: 757-761. doi.org/10.1111/j.1440-1827.1995.tb03393.x
14
Shome GP, Nagaraju M, Munis A, et al. Appendiceal endometriosis presenting as massive lower intestinal hemorrhage. Am J Gastroenterol 1995; 90: 1881-1883.
