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 claude@2026-06, 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 ⓘ

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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Condition tags

endometriosisendometriomachronic_pelvic_pain

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