{"paper_id":"e93e933b-1f08-40c1-b818-f2d19b594f0e","body_text":"A CASE OF ENDOMETRIOSIS OF THE APPENDIX\n1987 Volume 48 Issue 12 Pages 2051-2055\nDetails\nAbstract\nEndometriosis of the intestinal canal is a rare disease in Japan. We experienced a case of endometriosis of the appendix.\nThe patient, aged 39 years, visited our hospital for the chief complaint of pain in the ileocecum. Since muscular defense and Blumberg sign were present in the right hypogastrium together with leucocytosis, the patient was diagnosed as having had acute appendicitis. On laparotomy the appendix was considerably shorter than usual, but had enlarged to the size of an index finger, and the serosa was edematous and congestive. Appendectomy was performed. The length of the excised appendix was 2.3cm, with a maximum diameter of 1.8cm. Although the mucous membrane appeared normal macroscopically, the appendicular wall was thickened. Histological observation revealed endometrial tissues associated with interstitial cells in the lamina propria mucosa, lamina submucosa and tunics muscularis propria of the appendix. The tunica muscularis propria was markedly thickened. There was no finding of acute inflammation or malignant change.\nIt seems important for physicians to recognize that some cases of endometriosis of the appendix show symptoms similar to those in acute appendicitis and to carefully determine the relationship between abdominal pain and pain due to menstruation.\nThe patient, aged 39 years, visited our hospital for the chief complaint of pain in the ileocecum. Since muscular defense and Blumberg sign were present in the right hypogastrium together with leucocytosis, the patient was diagnosed as having had acute appendicitis. On laparotomy the appendix was considerably shorter than usual, but had enlarged to the size of an index finger, and the serosa was edematous and congestive. Appendectomy was performed. The length of the excised appendix was 2.3cm, with a maximum diameter of 1.8cm. Although the mucous membrane appeared normal macroscopically, the appendicular wall was thickened. Histological observation revealed endometrial tissues associated with interstitial cells in the lamina propria mucosa, lamina submucosa and tunics muscularis propria of the appendix. The tunica muscularis propria was markedly thickened. There was no finding of acute inflammation or malignant change.\nIt seems important for physicians to recognize that some cases of endometriosis of the appendix show symptoms similar to those in acute appendicitis and to carefully determine the relationship between abdominal pain and pain due to menstruation.\n© Japan Surgical Association\nFavorites & Alerts\nRecently viewed articles","source_license":"CC0","license_restricted":false}