Appendiceal endometriosis: two case reports

Hakan Uncu, Uncu H, Dilara Taner, Taner D
Archives of gynecology and obstetrics · 2008 · vol. 278(3) , pp. 273–275 · doi:10.1007/s00404-008-0570-2 · PMID:18236056 · W1995967939
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Two cases of appendiceal endometriosis initially misdiagnosed as acute appendicitis were confirmed postoperatively via histopathological examination.

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This paper reports two cases of appendiceal endometriosis, described as occurring in patients operated on with a prediagnosis of acute appendicitis. The authors note that appendiceal endometriosis is rare (reported incidence lower than 1% among pathologies of pelvic endometriosis) and can present with acute or sometimes asymptomatic findings such as intussusception, colic, or melena, but diagnosis in these cases was only made postoperatively by histopathology. A key limitation is that the evidence is limited to case reports without broader diagnostic or incidence assessment. This paper is centrally about endometriosis — it presents two cases specifically of appendiceal endometriosis and discusses its typical presentations and reliance on histopathology for diagnosis.

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Abstract

The incidence of appendiceal endometriosis is lower than 1% among pathologies of pelvic endometriosis. They may occur with findings such as acute appendicitis, invagination, colic or melena, though they are mostly seen with an asymptomatic character. Diagnosis can be made only after a histopathological examination following the operation. We present here two appendiceal endometriosis cases, which were operated on for a prediagnosis of acute appendicitis, but postoperatively diagnosed as appendiceal endometriosis.
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Abstract

The incidence of appendiceal endometriosis is lower than 1% among pathologies of pelvic endometriosis. They may occur with findings such as acute appendicitis, invagination, colic or melena, though they are mostly seen with an asymptomatic character. Diagnosis can be made only after a histopathological examination following the operation. We present here two appendiceal endometriosis cases, which were operated on for a prediagnosis of acute appendicitis, but postoperatively diagnosed as appendiceal endometriosis. Similar content being viewed by others

References

Bromberg SH, Waisberg J, Franco MIF et al (1999) Surgical treatment for colorectal endometriosis. Int Surg 84:234–238 Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM (1988) Gastrointestinal endometriosis. Arch Surg 123:855–858 Olive DL, Schwartz LB (1993) Endometriosis. N Engl J Med 238:1759–1769 Berqvist A (1992) Extragenital endometriosis. Eur J Surg 158:7–12 Singh KK, Lessells AM, Adam DJ et al (1995) Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg 82:1349–1351 Mann WJ, Fromowitz F, Saychek T et al (1984) Endometriosis associated with appendiceal intussusception. J Reprod Med 29:625–629 Beresky RE, Weiser H, Carroll C (1987) Endometriosis of the vermiform appendix. Mil Med 152:366–367 Hartman E, Boerma EJ, Te Velde J (1988) Intracaecal prolapse of the appendix from endometriosis. Neth J Surg 40:166–167 Nycum LR, Moss H, Adams JQ, Macri CI (1999) Asymptomatic intussusception of the appendix due to endometriosis. South Med J 92:524–525 Yelon JA, Green JM, Hashmi HF (1993) Endometriosis of the appendix resulting in perforation: a case report. J Clin Gastroenterol 16:355–356 Panganiban W, Cornog JL (1972) Endometriosis of the intestines and vermiform appendix. Dis Colon Rectum 15:23 Langman J, Rowland R, Vernon-Roberts B (1981) Endometriosis of appendix. Br J Surg 68:121–124 Pittaway DE (1983) Appendectomy in the surgical treatment of endometriosis. Obstet Gynecol 61:421–424 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Uncu, H., Taner, D. Appendiceal endometriosis: two case reports. Arch Gynecol Obstet 278, 273–275 (2008). https://doi.org/10.1007/s00404-008-0570-2 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-008-0570-2

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Condition tags

endometriosis

MeSH descriptors

Appendix Cecal Diseases Endometriosis Abdomen, Acute Abdomen, Acute Abdomen, Acute Abdomen, Acute Adult Adult Appendix Appendix Appendix Cecal Diseases Cecal Diseases Cecal Diseases Cecal Diseases Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (31)

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