Da vinci SILS-appendectomy for appendiceal endometriosis secondary to stage IV endometriosis: a case report and review of literature

Xiaoming Guan, Shadi Rezai, Neil D. Patel, Alexander C Hughes, Ninad Patil, Elise Bardawil, Cassandra E. Henderson
In: Obstetrics & Gynecology International Journal · 2018 · vol. 9(4) · doi:10.15406/ogij.2018.09.00347 · W2888114318
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a successful Da Vinci robotic single-incision laparoscopic surgery (RA-SILS) appendectomy for appendiceal endometriosis in a patient with stage IV endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper reports a case of a 34-year-old woman with stage IV endometriosis presenting with dysmenorrhea, chronic pelvic pain, cramping, dyschezia, dysuria, and infertility, in whom pelvic imaging and diagnostic surgery identified multiple endometriotic sites including involvement of the appendix. The authors describe hysteroscopy and chromotubation followed by Da Vinci robotic single-incision laparoscopic (RA-SILS) excision of endometriosis and a Da Vinci RA-SILS appendectomy performed by general surgery, with intraoperative and histologic confirmation of endometriosis in pelvic nodules and the outer appendiceal wall. A key limitation is that this is a single case report with only short follow-up, so outcomes and safety cannot be generalized. This paper is centrally about endometriosis — it focuses on stage IV endometriosis with appendiceal involvement managed via Da Vinci RA-SILS appendectomy.

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Abstract

Background:Endometriosis is defined as functional endometrial tissue located outside of the uterine cavity. Typical symptoms include dysmenorrhea, non-cyclic dyspareunia, irregular or heavy menstrual bleeding, dyschezia, and infertility. Previously, Robotic Assisted (RA)-laparoscopic surgery was the procedure of choice when treating stage IV endometriosis. Single Incision Laparoscopic Surgery (SILS) is a new technique, gaining popularity for its versatile use in various surgical procedures. We present a case report of a patient with stage IV appendiceal endometriosis managed with Da Vinci RA-SILS appendectomy and a literature review. Case:The patient was a 34-year-old female Gravida 0, Para 0 with a chief complaint of dysmenorrhea, chronic pelvic pain and cramping. She reported a history of infertility for 18 months. The patient was diagnosed with a right pelvic sidewall nodule with endometriosis, left round ligament endometriosis, left anterior broad ligament endometriosis, posterior cul-de-sac endometriosis, with bladder, uterine, and appendiceal endometriosis. The patient underwent hysteroscopy, chromotubation, and Da Vinci RA-SILS resection of appendiceal endometriosis. Conclusion:Although rare, endometriotic involvement of appendix can be a symptomatic complication of gastrointestinal involvement and may present as acute appendicitis or even nonspecific abdominal pain, requiring appendectomy. With modern advancements, it is now preferred to perform Da Vinci RA-SILS appendectomy in the setting of endometriosis for both surgical and cosmetic reasons.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

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 (21)

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