Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Priyanka Pipara, Ramna Banerjee
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(6) , pp. 2611 · doi:10.18203/2320-1770.ijrcog20172362 · W2616962813
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report describes a 26-year-old woman with endometriosis who presented with acute abdominal pain due to appendiceal endometriosis, confirmed by histopathology after appendectomy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a 26-year-old woman with chronic lower abdominal pain already on medical management for endometriosis who presented with acute abdominal pain and underwent diagnostic laparoscopy. Intraoperatively, there was minimal hemoperitoneum with a frozen pelvis and the appendix appeared slightly inflamed; appendicectomy with adhesiolysis was performed. Histopathology showed endometriosis involving the appendix, and the postoperative course was uneventful with follow-up indicating she was doing well. As a single case report, it provides no comparative or generalizable evidence. This paper is centrally about endometriosis — it documents concurrent ruptured endometrioma and appendiceal endometriosis.

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Abstract

Endometriosis is an oestrogen dependent inflammatory disease characterised by presence of endometrial tissue outside the uterine cavity. It affects 15% of female patients in reproductive age. Endometriosis is a very common cause of chronic pelvic pain and subfertility in females. We present a case of a 26-year-old woman with chronic lower abdominal pain on medical management of endometriosis. She presented to us with acute abdominal pain and underwent diagnostic laparoscopy. During surgery, we observed minimal haemoperitoneum with frozen pelvis. The appendix appeared slightly inflamed and an appendicectomy with adhesiolysis was done. The histopathological examination showed endometriosis of appendix. Her postoperative period was uneventful. The patient has been followed up postoperatively and is currently doing well.
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Concurrent ruptured endometrioma with appendiceal endometriosis: a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20172362Keywords: Abdominal pain, Appendix, Endometriosis, LaparoscopyAbstract Endometriosis is an oestrogen dependent inflammatory disease characterised by presence of endometrial tissue outside the uterine cavity. It affects 15% of female patients in reproductive age. Endometriosis is a very common cause of chronic pelvic pain and subfertility in females. We present a case of a 26-year-old woman with chronic lower abdominal pain on medical management of endometriosis. She presented to us with acute abdominal pain and underwent diagnostic laparoscopy. During surgery, we observed minimal haemoperitoneum with frozen pelvis. The appendix appeared slightly inflamed and an appendicectomy with adhesiolysis was done. The histopathological examination showed endometriosis of appendix. Her postoperative period was uneventful. The patient has been followed up postoperatively and is currently doing well. Metrics References Yoon J, Lee YS, Chang H-S, Park CS. Endometriosis of the appendix. Ann Surg Treat Res. 2014;87(3):144-7. Khairy GA. Endometriosis of the appendix: a trap for the unwary. Saudi J Gastroenterol Off J Saudi Gastroenterol Assoc. 2005;11(1):45-7. Hasegawa T, Yoshida K, Matsui K. Endometriosis of the appendix resulting in perforated appendicitis. Case Rep Gastroenterol. 2007;1(1):27-31. Al Oulaqi NS, Hefny AF, Joshi S, Salim K, Abu-Zidan FM. Endometriosis of the appendix. Afr Health Sci. 2008;8(3):196-8. Uncu H, Taner D. Appendiceal endometriosis: two case reports. Arch Gynecol Obstet. 2008;278(3):273-5. Papavramidis TS, Sapalidis K, Michalopoulos N, Karayanopoulou G, Raptou G, Tzioufa V, et al. Spontaneous abdominal wall endometriosis: a case report. Acta Chir Belg. 2009;109(6):778-81. Collins DC. A study of 50,000 specimens of the human vermiform appendix. Surg Gynecol Obstet. 1955;101(4):437-45. Berker B, Lashay N, Davarpanah R, Marziali M, Nezhat CH, Nezhat C. Laparoscopic appendectomy in patients with endometriosis. J Minim Invasive Gynecol. 2005;12(3):206-9. Laskou S, Papavramidis TS, Cheva A, Michalopoulos N, Koulouris C, Kesisoglou I, et al. Acute appendicitis caused by endometriosis: a case report. J Med Case Reports. 2011;5:144. Barrier BF, Frazier SR, Brennaman LM, Taylor JC, Ramshaw BJ. Catamenial appendicitis. Obstet Gynecol. 2008;111(2 Pt 2):558-61. Wie HJ, Lee JH, Kyung MS, Jung US, Choi JS. Is incidental appendectomy necessary in women with ovarian endometrioma? Aust N Z J Obstet Gynaecol. 2008;48(1):107-11.

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Condition tags

endometriosisendometriomachronic_pelvic_pain

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