An unusual cause of acute appendicitis: Appendiceal endometriosis

Küçük Resim Yok

Tarih

2013

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Elsevier Sci Ltd

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

INTRODUCTION: While endometriosis is a common disorder in women of reproductive age, appendiceal endometriosis accounts for less than 1% of all pelvic endometriotic lesions. Appendiceal involvement may present as acute appendicitis and definitive diagnosis is made by only postoperative histological examination. PRESENTATION OF CASE: In this study, we present two cases of female patients who underwent an appendectomy presumed diagnosis as acute appendicitis, and a histopathological examination of the retrieved specimen revealed appendiceal endometriosis. DISCUSSION: Endometriosis is defined as the presence of ectopic endometrial tissue outside the lining of the uterine cavity. Gastrointestinal endometriosis is observed in 3-37% of all endometriosis cases, whereas appendiceal endometriosis accounts for only about 3% of gastrointestinal endometriosis. Appendiceal endometriosis is usually asymptomatic, although it sometimes causes abdominal cramps, nausea, chronic pelvic pain, lower gastrointestinal hemorrhage, intussusception, perforation, or acute appendicitis. CONCLUSION: Appendiceal endometriosis is an unusual histopathological finding. A preoperative diagnosis is difficult, but this condition should be considered when women of childbearing age present with clinical symptoms of acute appendicitis. (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd.Open access under CC BY-NC-ND license.

Açıklama

Anahtar Kelimeler

Appendicitis, Endometriosis, Unusual presentation

Kaynak

International Journal of Surgery Case Reports

WoS Q Değeri

N/A

Scopus Q Değeri

Q3

Cilt

4

Sayı

1

Künye