Appendiceal Endometriosis Presenting As Chronic Appendicitis: A Case Report.
Sarah Klein1, RaeAnn Tourangeau-Young2, Alejandro Biglione2
1Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Cureus
|May 22, 2023
Summary
Endometriosis can affect the appendix, causing chronic right lower quadrant pain. Prophylactic appendectomy may prevent persistent pain and further surgeries in women with endometriosis.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Pathology
Background:
- Endometriosis is a complex gynecological condition with multiple theories on its pathophysiology.
- Gastrointestinal endometriosis (GE) is the most common extra-pelvic manifestation, affecting 3-37% of cases.
- Appendiceal endometriosis is a rare subtype, found in approximately 3% of GE cases.
Observation:
- A 24-year-old female with a history of endometriosis presented with persistent right lower quadrant pain.
- Imaging and subsequent appendectomy revealed focal endometriosis within the appendix.
- Histopathology showed endometriosis, adhesions, and hemorrhagic content within the appendiceal lumen.
Findings:
- Appendiceal endometriosis can present as chronic abdominal pain mimicking other gastrointestinal conditions.
- Failure to consider appendiceal involvement in endometriosis may lead to unresolved pain.
- This case highlights endometriosis as a cause of appendiceal pathology.
Implications:
- Prophylactic appendectomy could be considered for patients with chronic pelvic pain and a history of endometriosis.
- Early identification and management of appendiceal endometriosis may reduce the need for future interventions.
- Integrating appendiceal evaluation into endometriosis management protocols may improve patient outcomes.
Keywords:
appendiceal endometriosischronic appendicitisdysmenorrhea endometriosisendometriosis and chronic pelvic painendometriosis surgerylaparoscopic surgery for endometriosisMore Related Videos
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