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Endometriosis presenting as acute appendicitis.

P A Rubio, E M Farrell, B A Alvarez

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |January 1, 1978
    PubMed
    Summary
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    A rare case of endometriosis, a condition where uterine tissue grows outside the uterus, mimicked acute appendicitis. Surgical removal of the appendix (appendectomy) led to a full recovery.

    Area of Science:

    • Gynecology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Endometriosis is a condition characterized by the presence of endometrial-like tissue outside the uterus.
    • It commonly affects the ovaries, fallopian tubes, and pelvic peritoneum.
    • Appendiceal endometriosis is an exceedingly rare manifestation.

    Observation:

    • A patient presented with symptoms clinically indistinguishable from acute appendicitis.
    • Diagnostic imaging and clinical evaluation were suggestive of appendicitis.
    • Laparoscopic appendectomy was performed for presumed acute appendicitis.

    Findings:

    • Histopathological examination of the resected appendix revealed endometriosis.
    • This finding confirmed endometriosis as the underlying cause of the appendicitis-like symptoms.

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  • No other intra-abdominal pathology was identified.

    • Implications:

    • This case highlights the importance of considering endometriosis in the differential diagnosis of acute appendicitis, particularly in women of reproductive age.
    • Appendiceal endometriosis can present acutely, mimicking common surgical emergencies.
    • Prompt surgical intervention, such as appendectomy, can yield excellent outcomes for this rare presentation.