Preoperative hormonal therapy for a patient with appendiceal endometriosis

Keiko Shichiri, Kazuhiro Nishida, Alan Kawarai Lefor, Tadao Kubota
BMJ case reports · 2021 · vol. 14(11) , pp. e245667 · doi:10.1136/bcr-2021-245667 · PMID:34764095 · PMC8587620 · W3212145528
article OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a patient with appendiceal endometriosis treated with a gonadotropin-releasing hormone agonist, which alleviated symptoms, followed by laparoscopic appendectomy.

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Abstract

The optimal management of patients with appendiceal endometriosis has not been determined because of the difficulty of establishing a preoperative diagnosis. There are no reports of preoperative hormone therapy for a patient with appendiceal endometriosis. We report a patient who underwent resection of appendiceal endometriosis after hormone therapy. A 40-year-old woman with history of recurrent pelvic abscesses presented to the emergency department with lower abdominal pain. The recurrent pelvic abscesses were synchronised with her menstrual cycle. CT scan demonstrated a 25 mm contrast-enhanced luminal structure adjacent to the cecum, which was thought to be a mucocele of the appendix. Considering the recurrent symptoms during menstruation, endometriosis was suspected. Treatment with a gonadotropin-releasing hormone agonist was started for appendiceal endometriosis, which alleviated the symptoms. After 3 months, elective laparoscopic appendectomy was performed. Preoperative hormonal therapy is an option for patients with appendiceal endometriosis, especially when there is concern for dense adhesions.

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Condition tags

endometriosis

MeSH descriptors

Appendix Appendix Appendix Endometriosis Endometriosis Endometriosis Endometriosis Mucocele Abdominal Pain Adult Appendectomy Female Humans

Citation neighborhood

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References (15)

Cited by (2)

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