Appendiceal endometriosis

Lucía Aragone, Mariana Toffolo Pasquini, Victoria Scasso Rebzda, Mariela Sol Talarico, Matías Mihura
International journal of surgery case reports · 2023 · vol. 105(C) , pp. 107993 · doi:10.1016/j.ijscr.2023.107993 · PMID:36958144 · W4328102500
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Abstract

INTRODUCTION AND IMPORTANCE: Appendiceal endometriosis is an entity of extragonadal endometriosis. It commonly affects women of childbearing age with a wide spectrum of clinical manifestations. Women can present with symptoms mimicking acute appendicitis. Ultrasound, computed tomography scan (CT-Scan) and laparoscopy can be used for evaluation although the definitive diagnosis is obtained only with the histopathological study. CASE PRESENTATION: We report a case of appendiceal endometriosis presenting as acute right lower quadrant abdominal pain in a woman of childbearing age. CLINICAL DISCUSSION: We discuss appendiceal endometriosis as a rare differential diagnosis of acute appendicitis in young women and the diagnostic challenges this condition may pose to general surgeons. CONCLUSION: Appendiceal endometriosis is a rare condition with a challenging diagnosis. Although appendectomy relieves the acute symptoms, gynecological follow up is strongly recommended.

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endometriosis

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