Appendiceal Endometriosis Presenting with Recurrent Appendicitis—A Case Report—

Hiroki Okamura, Tetsu Yamamoto, Kazunari Ishitobi, Noriyuki Hirahara, Teruaki Iwahashi, Yoshitsugu Tajima, Masaaki Hidaka
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 2024 · vol. 85(1) , pp. 59–64 · doi:10.3919/jjsa.85.59 · W4401111708
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A 29-year-old woman with recurrent appendicitis was diagnosed with appendiceal endometriosis after laparoscopic appendectomy revealed endometrial glands in the appendiceal wall.

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Abstract

症例は29歳，女性．右下腹部痛を主訴に前医を受診した．CTで腹腔内膿瘍を伴う急性虫垂炎と診断され，interval appendectomyの方針で抗菌薬加療が行われた．症状は一旦改善したが，その後，短期間で2回の再燃を繰り返したため当院に紹介となり，腹腔鏡下虫垂切除術を施行した．病理組織学的に，腫大した虫垂の筋層から漿膜下層にかけて子宮内膜腺の増生とCD10陽性の間質を認め，虫垂子宮内膜症の診断となった．虫垂子宮内膜症は非常に稀な疾患で，無症候性のこともある．有症例であっても月経周期との関連が乏しかったり，さらに特異的な画像所見もないため，術前診断を得ることは難しい．自験例のように生殖年齢の女性で虫垂炎を繰り返す場合は，虫垂子宮内膜症の可能性も念頭に置き治療に臨む必要がある．

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Condition tags

endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (17)

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last seen: 2026-06-10T17:14:06.276822+00:00
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