A CASE OF ENDOMETRIOSIS ARISED IN THE APPENDIX

Seiji Yamazaki, Hiroyuki Komoriyama, Masaru Nemoto, Hiroyoshi Ikezawa, Masaru Hagiwara, Toshihito Shinagawa
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 1998 · vol. 59(5) , pp. 1382–1384 · doi:10.3919/jjsa.59.1382 · W2321369661
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This paper reports a rare case of a 60-year-old woman diagnosed with ectopic endometriosis in the appendix, presenting as an elevated lesion causing right lower abdominal pain.

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A sixty-year-old woman presented with persistent right lower abdominal pain and an ileocecal deformation identified via barium enema. Clinical evaluation through colonoscopy revealed a submucosal tumor at the root of the appendix, leading to surgical removal of the appendix and partial cecum due to suspected malignancy. Histopathological examination of the resected tissue ultimately confirmed a diagnosis of ectopic endometriosis within the appendix. This paper is centrally about endometriosis — specifically, it documents a rare case of gastrointestinal endometriosis arising in the appendix.

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Abstract

A 60-year-old woman was admitted to the hospital because of right lower abdominal pain in May, 1996. The patient occasionally felt abdominal pain since July, 1995 and was pointed out having a deformation of the ileocecum by a barium enema study at another hospital in December. After admission, a colonoscopic examination revealed an elevated lesion at the root of appendix. The lesion revealed a morphology of submucosal tumor centering at the appendiceal openning, the appendiceal openning dilated, and a part of the tumor with reddening was exposed. Biopsy offered no definitive diagnosis. Because of persisting abdominal pain, a removal of the appendix with partial excision of the cecum was carried out with a diagnosis of tumor of the root of appendix. The resected appendix was grayish white in color and elastic slightly hard. Histopathological diagnosis of ectopic endometriosis was made. Gastrointestinal endometriosis is relatively rare, especially that arised in the appendix. This rare case of endometriosis of the appendix with some notes is reported in this paper.
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A CASE OF ENDOMETRIOSIS ARISED IN THE APPENDIX 1998 Volume 59 Issue 5 Pages 1382-1384 Details Abstract A 60-year-old woman was admitted to the hospital because of right lower abdominal pain in May, 1996. The patient occasionally felt abdominal pain since July, 1995 and was pointed out having a deformation of the ileocecum by a barium enema study at another hospital in December. After admission, a colonoscopic examination revealed an elevated lesion at the root of appendix. The lesion revealed a morphology of submucosal tumor centering at the appendiceal openning, the appendiceal openning dilated, and a part of the tumor with reddening was exposed. Biopsy offered no definitive diagnosis. Because of persisting abdominal pain, a removal of the appendix with partial excision of the cecum was carried out with a diagnosis of tumor of the root of appendix. The resected appendix was grayish white in color and elastic slightly hard. Histopathological diagnosis of ectopic endometriosis was made. Gastrointestinal endometriosis is relatively rare, especially that arised in the appendix. This rare case of endometriosis of the appendix with some notes is reported in this paper. Gastrointestinal endometriosis is relatively rare, especially that arised in the appendix. This rare case of endometriosis of the appendix with some notes is reported in this paper. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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endometriosis

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