Endometriosis of the appendix causing small bowel obstruction in a virgin abdomen

Joseph Do Woong Choi, Michael Yunaev
BMJ case reports · 2019 · vol. 12(7) , pp. e230496 · doi:10.1136/bcr-2019-230496 · PMID:31337629 · PMC6663186 · W2962703675
article OA: green CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

A nulligravid woman with appendiceal endometriosis experienced a small bowel obstruction, which was successfully treated with laparoscopic adhesiolysis and appendectomy.

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Abstract

A 29-year-old, otherwise well, nulligravid woman presented to the emergency department with 1-day history of generalised abdominal pain and vomiting. She had similar symptoms 6 months prior following recent menstruations, which resolved conservatively. She had no prior history of abdominal surgery or endometriosis. CT scan demonstrated distal small bowel obstruction. A congenital band adhesion was suspected, and she underwent prompt surgical intervention. During laparoscopy, a thickened appendix was adhered to a segment of distal ileum. There was blood in the pelvis. Laparoscopic adhesiolysis and appendicectomy were performed. Histopathology demonstrated multiple foci of endometriosis of the appendix with endometrial glands surrounded by endometrial stroma. Oestrogen receptor and CD10 immunostains highlighted the endometriotic foci. The patient made a good recovery and was referred to a gynaecologist for further management.

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Condition tags

endometriosis

MeSH descriptors

Appendix Cecal Diseases Endometriosis Intestinal Obstruction Tissue Adhesions Adult Appendectomy Appendix Cecal Diseases Cecal Diseases Endometriosis Endometriosis Female Humans Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Intestine, Small Intestine, Small Laparoscopy

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (23)

Cited by (7)

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