Endometriosis of the Appendix Presenting As Acute Appendicitis: a Case Report and Literature Review

Overview

Journal Ethiop J Health Sci

Specialty Health Services

Date 2013 Apr 6

PMID 23559841

Citations 5

Authors

Stanley Uwaezuoke

Ezenwa Udoye

Ebitimitula Etebu

Affiliations

Soon will be listed here.

Abstract

Endometriosis is a common disease generally, but appendiceal endometriosis causing acute appendicitis is a very uncommon clinical phenomenon and a few cases have been reported. The authors aim to highlight the rarity of such clinical entity in Nigeria. A 29 year old nulliparous woman presented with severe right iliac fossa pains, tenderness and rebound tenderness on her second day of menstruation. She subsequently had appendicectomy and a histopathological diagnosis of appendiceal endometriosis causing acute appendicitis. Appendiceal endometriosis causing acute appendicitis is rare, and definitive diagnosis is performed through histopathological evaluation. Post-operative gynaecological follow-up is highly recommended.

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References

Mittal V, Choudhury S, Cortez J . Endometriosis of the appendix presenting as acute appendicitis. Am J Surg. 1981; 142(4):519-21. DOI: 10.1016/0002-9610(81)90389-5. View

Shome G, Nagaraju M, Munis A, Wiese D . Appendiceal endometriosis presenting as massive lower intestinal hemorrhage. Am J Gastroenterol. 1995; 90(10):1881-3. View

Khoo J, Ismail M, Tiu C . Endometriosis of the appendix presenting as acute appendicitis. Singapore Med J. 2004; 45(9):435-6. View

Mann W, Fromowitz F, Saychek T, Madariaga J, Chalas E . Endometriosis associated with appendiceal intussusception. A report of two cases. J Reprod Med. 1984; 29(8):625-9. View

Gini P, CHUKUDEBELU W, Onuigbo W . Perforation of the appendix during pregnancy: a rare complication of endometriosis. Case report. Br J Obstet Gynaecol. 1981; 88(4):456-8. DOI: 10.1111/j.1471-0528.1981.tb01014.x. View

Yetkin G, Uludag M, Citgez B, Polat N . Endometriosis of the appendix presenting as acute appendicitis. BMJ Case Rep. 2011; 2009. PMC: 3029301. DOI: 10.1136/bcr.04.2009.1820. View

Nakatani Y, Hara M, MISUGI K, Korehisa H . Appendiceal endometriosis in pregnancy. Report of a case with perforation and review of the literature. Acta Pathol Jpn. 1987; 37(10):1685-90. View

Vercellini P, Chapron C, Fedele L, Gattei U, Daguati R, Crosignani P . Evidence for asymmetric distribution of lower intestinal tract endometriosis. BJOG. 2004; 111(11):1213-7. DOI: 10.1111/j.1471-0528.2004.00453.x. View

Douglas C, Rotimi O . Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol. 2005; 24(7):804-8. DOI: 10.1080/01443610400009568. View

10.

Ijaz S, Lidder S, Mohamid W, Carter M, Thompson H . Intussusception of the appendix secondary to endometriosis: a case report. J Med Case Rep. 2008; 2:12. PMC: 2254640. DOI: 10.1186/1752-1947-2-12. View

11.

LANGMAN J, Rowland R, Vernon-Roberts B . Endometriosis of the appendix. Br J Surg. 1981; 68(2):121-4. DOI: 10.1002/bjs.1800680218. View

12.

Sakaguchi N, Ito M, Sano K, Baba T, Koyama M, Hotchi M . Intussusception of the appendix: a report of three cases with different clinical and pathologic features. Pathol Int. 1995; 45(10):757-61. DOI: 10.1111/j.1440-1827.1995.tb03393.x. View

13.

Tumay V, Ozturk E, Ozturk H, Yilmazlar T . Appendiceal endometriosis mimicking acute appendicitis. Acta Chir Belg. 2007; 106(6):712-3. DOI: 10.1080/00015458.2006.11679989. View

14.

Laskou S, Papavramidis T, Cheva A, Michalopoulos N, Koulouris C, Kesisoglou I . Acute appendicitis caused by endometriosis: a case report. J Med Case Rep. 2011; 5:144. PMC: 3082229. DOI: 10.1186/1752-1947-5-144. View

15.

Hasegawa T, Yoshida K, Matsui K . Endometriosis of the appendix resulting in perforated appendicitis. Case Rep Gastroenterol. 2011; 1(1):27-31. PMC: 3073784. DOI: 10.1159/000104223. View