A CASE REPORT OF ENDOMETRIOSIS OF THE APPENDIX AND ILEUM

Yuji Yamamoto, Koichi Hirata
In: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · 1999 · vol. 60(9) , pp. 2418–2422 · doi:10.3919/jjsa.60.2418 · W2324588025
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This case report describes endometriosis of the appendix and ileum found in a 42-year-old woman presenting with anemia and a positive occult blood test.

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The paper reports a single case of endometriosis involving the appendix and ileum in a 42-year-old woman who was admitted after mild anemia and a positive occult blood test, with dizziness as the presenting complaint. Diagnostic workup included barium enema showing impaired contrast flow to the appendix and ileocecal deformation, and colonoscopy showing an elevated submucosal-tumor-like lesion with a smooth surface at the appendiceal opening. Surgical treatment consisted of ileocecal resection and partial ileal resection for a presumed submucosal tumor, and intraoperative findings included a ~2 cm tumor at the appendix root with ileal adhesion; histopathology ultimately diagnosed endometriosis of the appendix and ileum. This paper is centrally about endometriosis — specifically endometriosis of the appendix and ileum.

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Abstract

A case of endometriosis of the appendix and ileum is reported. A 42-year-old woman was seen at the hospital because of dizziness on October 13, 1997. Because mild anemia was noted in the laboratory data and occult blood reaction was positive, she was admitted for further examination. No abnormal physical condition of her abdomen was observed. A barium enema study revealed the absence of the flow of contrast medium to the appendix and a deformation of the ileocecum. A colonoscopic examination revealed an elevated lesion like submucosal tumor with a smooth surface at the appendical opening. From these findings, an ileocecal resection and a partial resection of the ileum were performed on November 22 with a diagnosis of a submucosal tumor of the cecum. During operation a tumor measuring 2cm in maximal diameter was found at the root of the appendix and adhesion of the ileum was observed. Macroscopically the solid tumor, measuring 1.5×1.8cm in diameter was present at the root of the appendix. Histopathological diagnosis was endometriosis of the appendix and ileum.
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A CASE REPORT OF ENDOMETRIOSIS OF THE APPENDIX AND ILEUM 1999 Volume 60 Issue 9 Pages 2418-2422 Details Abstract A case of endometriosis of the appendix and ileum is reported. A 42-year-old woman was seen at the hospital because of dizziness on October 13, 1997. Because mild anemia was noted in the laboratory data and occult blood reaction was positive, she was admitted for further examination. No abnormal physical condition of her abdomen was observed. A barium enema study revealed the absence of the flow of contrast medium to the appendix and a deformation of the ileocecum. A colonoscopic examination revealed an elevated lesion like submucosal tumor with a smooth surface at the appendical opening. From these findings, an ileocecal resection and a partial resection of the ileum were performed on November 22 with a diagnosis of a submucosal tumor of the cecum. During operation a tumor measuring 2cm in maximal diameter was found at the root of the appendix and adhesion of the ileum was observed. Macroscopically the solid tumor, measuring 1.5×1.8cm in diameter was present at the root of the appendix. Histopathological diagnosis was endometriosis of the appendix and ileum. A 42-year-old woman was seen at the hospital because of dizziness on October 13, 1997. Because mild anemia was noted in the laboratory data and occult blood reaction was positive, she was admitted for further examination. No abnormal physical condition of her abdomen was observed. A barium enema study revealed the absence of the flow of contrast medium to the appendix and a deformation of the ileocecum. A colonoscopic examination revealed an elevated lesion like submucosal tumor with a smooth surface at the appendical opening. From these findings, an ileocecal resection and a partial resection of the ileum were performed on November 22 with a diagnosis of a submucosal tumor of the cecum. During operation a tumor measuring 2cm in maximal diameter was found at the root of the appendix and adhesion of the ileum was observed. Macroscopically the solid tumor, measuring 1.5×1.8cm in diameter was present at the root of the appendix. Histopathological diagnosis was endometriosis of the appendix and ileum. © Japan Surgical Association Favorites & Alerts Recently viewed articles

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endometriosis

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