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Cecal endometriosis presenting as acute appendicitis.
Hamidreza Alizadeh Otaghvar1, Mostafa Hosseini1, Ghazaal Shabestanipour2
1Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran 1449614535, Iran.
Case Reports in Surgery
|August 16, 2014
Summary
Cecal endometriosis is a rare cause of right iliac fossa pain, often mimicking appendicitis. Surgical removal led to symptom improvement in this case.
Area of Science:
- Gastroenterology
- Gynecologic Oncology
Background:
- Cecal endometriosis is an uncommon condition.
- It can present as right lower quadrant pain, often misdiagnosed.
- Diagnosis can be challenging, sometimes necessitating surgical intervention.
Purpose of the Study:
- To highlight cecal endometriosis as an infrequent cause of right iliac fossa pain.
- To present a case where cecal endometriosis mimicked acute appendicitis.
- To emphasize the diagnostic challenges and treatment outcomes.
Main Methods:
- Case report of a patient with right lower quadrant pain.
- Clinical presentation suggestive of acute appendicitis.
- Diagnosis confirmed postoperatively by histopathological examination of the excised right colon.
Main Results:
- The patient's condition was initially suspected to be acute appendicitis.
- Cecal endometriosis was diagnosed definitively after surgical resection (right hemicolectomy).
- The patient experienced symptom resolution and improved general condition following surgery.
Conclusions:
- Cecal endometriosis should be considered in the differential diagnosis of right iliac fossa pain, especially when appendicitis is suspected.
- Early diagnosis and surgical management can lead to favorable outcomes.
- Histopathological examination remains crucial for definitive diagnosis.
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