{"paper_id":"5043b3e4-3a7c-41ad-b76b-d7dc69337d41","body_text":"Appendicular endometriosis: a case report\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20210347Keywords:\nEndometriosis, Appendix, Chronic pelvic pain, Powder burn, Gun-shot lesionsAbstract\nEndometriosis is an estrogen-dependent inflammatory disease that affects 8 to 10% of women at reproductive age, characterized by the presence of endometrial glands and stroma outside the uterine cavity. In our case we are presenting a case report of a reproductive age group woman with appendicular endometriosis, because of the presence of pelvic endometriosis combined with an enlarged appendix, the choice was appendectomy, with complete suppression of abdominal symptoms after the surgery, a fact also reported by other authors. We concluded that endometriosis of the appendix is rare and almost never diagnosed before the surgery, with the definitive diagnosis obtained through microscopic examination. However, it should always be taken into account for the diagnosis of chronic pelvic pain, especially in young women complaining of recurrent pain, history of infertility and pelvic endometriosis.\nMetrics\nReferences\nBulun SE. Endometriosis. N Engl J Med. 2009;360(3):268-79.\nPodgaec S, Gonçalves MO, Klajner S, Abrão MS. Epigastric pain relating to menses can be a symptom of bowel endometriosis. Sao Paulo Med J. 2008;126(4):242-4.\nKhoo JJ, Ismail MS, Tiu CC. Endometriosis of the appendix presenting as acute appendicitis. Singapore Med J. 2004;45(9):435-6.\nHasegawa T, Yoshida K, Matsui K. Endometriosis of the Appendix Resulting in Perforated Appendicitis. Case Rep Gastroenterol. 2007;1(1):27-31.\nIjaz S, Lidder S, Mohamid W, Carter M, Thompson H. Intussusception of the appendix secondary to endometriosis: a case report. J Med Case Reports. 2008;2:12.\nKrairy GA. Endometriosis of the appendix: a trap for the urwary. Saudi J Gastroenterol. 2005;11(1):45-7.\nTumay V, Ozturk E, Ozturk H, Yilmazlar T. Appendiceal endometriosis mimicking acute appendicitis. Acta Chir Belg. 2006;106(6):712-3.\nGustofson RL, Kim N, Liu S, Stratton P. Endometriosis and the appendix: a case series and comprehensive review of the literature. FertilSteril. 2006;86(2):298-303.\nAl Oulaqi NS, Hefny AF, Joshi S, Salim K, Abu-Zidan FM. Endometriosis of the Appendix. Afr Health Sci. 2008;8(3):196-8.\nDrimanDKm, Melega DE, Vilos GA, Plewes EA. Mucocele of the appendix secondary to endometriosis. Report of two cases, one with localized pseudomyxoma peritonei. Am J Clin Pathol. 2000;113(6):860-4.\nTez M, Akgül O, Ertan T, Göçmen E, Bilgin A, Han O. Endometriosis of the appendix. Turk J Gastroenterol. 2006;17(3):250-1.\nSagae EU, Lopasso F, Abrão MS, Cavalli N, Rodrigues JJG. Endometriose do tratogastrintestinal - correlaçõesclínicas e laparoscópicas. Rev bras Coloproct. 2007;27(4):423-31.\nChang-Hun L, Dong-Hoon S, Jun-Woo L. Obstructive mucocele of the appendix secondary to endometriosis - a case report. Korean J Pathol. 2004;38(6):419-22.\nFlores I, Abreu S, Abac S, Fourquet J, Laboy J, Ríos-Bedoya C. Self-reported prevalence of endometriosis and its symptoms among Puerto Rican women. Int J Gynaecol Obstet. 2008;100(3):257-61.\nNisolle M, Pasleau F, Foidart JM. Extragenital endometriosis. J Gynecol Obstet Biol Reprod (Paris). 2007;36(2):173-8.\nSnyder TE, Selanders JR. Incidental appendectomy - yes or no? A retrospective case study and review of the literature. Infect Dis Obstet Gynecol. 1998;6(1):30-7.\nJones AE, Phillips AW, Jarvis JR, Sargen K. The value of routine histopathological examination of appendicectomy specimens. BMC Surg. 2007;7:17.\nStegmann BJ, Sinaii N, Liu S, Segars J, Merino M, Nieman LK, et al. Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women. Fertil Steril. 2008;89(6):1632-6.\nGreen Top Guidelines No. 2006. Available at: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg25/. Accessed on 01 November, 2020.","source_license":"CC0","license_restricted":false}