Simultaneous Deep Endometriosis Affecting Abdominal Wall and Vermiform Appendix

Endometriosis, defined as the presence of endometrial glands and stroma outside the uterine cavity, is a chronic inflammatory condition that affects between 8 % and 44 % of women of reproductive age.Occasionally it presents as a sensitive mass in the abdominal wall, in relation to a surgical scar.On the other hand, in the most severe stage of endometriosis, intestinal involvement is common, and endometriotic disease of the appendix may be present even in appendices with macroscopically normal appearance.Simultaneous affectation of both locations is very rare.Nevertheless, treatment of choice is the excision of both lesions with safety margins.The aim of this manuscript was to report a case of simultaneous deep endometriosis affecting the total abdominal wall and vermiform appendix, resected in a single surgical procedure, which subsequently required abdominal wall repair with mesh plasty.Since desmoid tumors and endometriosis share similar clinical signs and unspecific imaging exams, both options should be considered in case of abdominal wall mass in female patients of childbearing age, especially if they have a history of uterine-related surgery.