Endometriosis of the appendix: A diagnostic dilemma

Sonia Gon, Gopi Nath Barui, Bipasa Majumdar, Sarfraz Jalia Baig
The Indian journal of surgery · 2010 · vol. 72(S1) , pp. 315–317 · doi:10.1007/s12262-010-0087-3 · PMID:23133282 · PMC3451864 · W2013427150
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This paper discusses appendiceal endometriosis, a rare condition in endometriosis patients that can mimic appendicitis in reproductive-aged women, presenting a diagnostic challenge.

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The paper discusses appendiceal endometriosis as a rare entity, occurring in reported incidence of less than 1% of all endometriosis cases, and frames it as a diagnostic dilemma because its presentation can mimic acute appendicitis in reproductive-age women. It emphasizes that laparoscopic visualization can be important for diagnostic yield when gynecologic conditions such as endometriosis, pelvic inflammatory disease, ruptured ovarian follicles, or tubal pregnancy are potential sources of lower abdominal pain. The key caveat is that appendiceal endometriosis is uncommon both among people with endometriosis and in the general population, which makes it easy to overlook. This paper is centrally about endometriosis — specifically endometriosis of the appendix presenting in a way that can resemble appendicitis.

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Abstract

The incidence of endometriosis of the appendix is reported to be just <1% of the total endometriosis cases. Laparoscopic visualization and diagnostic yield are of profound significance to women in whom gynecologic diseases such as endometriosis, pelvic inflammatory disease, ruptured ovarian follicles or tubal pregnancy may be the source of pain and mimic appendicitis. Therefore, lower abdominal pain in reproductive age group female must invite the attention of the surgeon or gynecologist to entertain the possibility of endometriosis since appendiceal endometriosis, while relatively uncommon in patients with endometriosis, is rare in the general population. Similar content being viewed by others

References

Khoo JJ, Ismail MSA, Tiu CC (2004) Endometriosis of the appendix presenting as acute appendicitis. Singapore Med J 45(9):435–436 Stefanidis K, Kontostolis S, Pappa L, Kontostolis E (1999) Endometriosis of the appendix with symptoms of acute appendicitis in pregnancy. Obstet Gynecol 52:850 Yantiss RK, Clement PB, Young RH (2001) Endometriosis of the intestinal tract. A study of 44 cases of a disease that may cause diverse challenges in clinical and pathological evaluation. Am J Surg Pathol 25:445–454 Schenken RS (1999) Endometriosis Scott JR, DiSaia PJ, Ham CB, Spellacy WN, (Eds.), In: Danforth’s obstetrics and gynecology edition. Philadelphia: Lippincort-Raven Publishers, pp 669 Feldman M, Friedman LS, Sleisenger MH (2002) Sleisenger and Fordtran’s gastrointestinal and liver disease: Pathophysiology, diagnosis, management. 7th edtion. WB Saunders, Philadelphia Gamal Ahmed Khairy(2005) Endometriosis of the appendix: A trap for the unwary. Saudi J Gastroenterol 11:45–47 Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM (1998) Gastrointestinal endometriosis: Incidence and indications for resection. Arch Surg 123:855–858 Mittal VK, Choudhury SP, Cortez JA (1981) Endometriosis of the appendix presenting as acute appendicitis. Am J Surg 142:519–521 ACOG Committee on Practice Bulletins-Gynecology (2000) ACOG practice bulletin. Medical management of endometriosis. Number 11, December 1999 (replaces Technical Bulletin Number 184, September 1993). Clinical management guidelines for obstetrician-gynecologists. Int J Gynaecol Obstet 71:183–196 Medl M, Ogris E, Peters-Engl C, Mierau M, Buxbam P, Leodolter S (1997) Serum levels of the tumour-associated trypsin inhibitor in patients with endometriosis. Br J Obstet Gynaecol 104:78–81 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Gon, S., Barui, G.N., Majumdar, B. et al. Endometriosis of the appendix: A diagnostic dilemma. Indian J Surg 72 (Suppl 1), 315–317 (2010). https://doi.org/10.1007/s12262-010-0087-3 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s12262-010-0087-3

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endometriosis

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