Diverticular disease and endometriosis of the vermiform appendix: A unique combination

Neşe Ekinci, Sultan Deniz Altındağ, Arzu Avcı, Emine Özlem Gür
In: Ege Tıp Dergisi · 2019 · vol. 58(4) , pp. 412–414 · doi:10.19161/etd.665508 · W2997475222
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 39-year-old woman with a rare combination of appendiceal diverticulosis and endometriosis, initially diagnosed as acute appendicitis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This 2019 paper reports a case involving diverticular disease of the vermiform appendix occurring together with appendiceal endometriosis, describing a “unique combination” at the site of disease. It presents the clinical scenario and diagnostic/pathologic context typical of a case report rather than a comparative study, and the paper does not state broader limitations beyond the inherent single-case design. The key finding is the coexistence of appendiceal diverticular pathology and endometriotic involvement in the vermiform appendix. This paper is centrally about endometriosis — specifically, appendiceal endometriosis occurring in conjunction with diverticular disease of the vermiform appendix.

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Abstract

Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. Appendiceal endometriosis, which is very rare, may have nonspecific presentation such as chronic pelvic pain, but sometimes it can masquerade clinically as acute appendicitis. Also appendiceal diverticulum may be congenital or acquired and is an infrequently encountered lesion. They are often asymptomatic but when diverticulitis or perforation develops, it may clinically mimic acute abdomen of acute suppurative appendicitis. Herein we report a case with a unique combination of appendiceal diverticulosis and endometriosis in a 39-year-old woman that was diagnosed preoperatively as acute appendicitis.
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References

- Laskou S, Papavramidis TS, Cheva A, et al. Acute appendicitis caused by endometriosis: a case report. J Med Case Rep. 2011; 5: 144. - Khairy GA. Endometriosis of the appendix: A trap for the unwary. Saudi J Gastroenterol. 2005; 11 (1): 45-7. - Dupre M, Jadavji I, Matshes E, Urbanski SJ. Diverticular disease of vermiform appendix: a diagnostic clue to underlying appendiceal neoplasm. Hum Path. 2008; 39: 1823-6. - Majeski J. Diverticulum of the vermiform appendix is associated with chronic abdominal pain. Am J Surg. 2003; 186: 129-31. - Marcacuzco AA, Manrique A, Calvo J, et al. Clinical implications of diverticular disease of the appendix. Experience over the past 10 years. Cir Esp. 2016; 94 (1): 44-7. - Curbelo-Peña Y, Guedes-De la Puente X, Saladich-Cubero M, Molinas-Bruguera J, Molineros J, De Caralt-Mestres E. Endometriosis causing acute appendicitis complicated with hemoperitoneum. J Surg Case Rep. 2015; 2015 (8): rjv097. - Terada T. Diverticulosis of vermiform appendix: incidence and report of 6 cases. Case Rep in Clin Path. 2017; 4 (1): 18-21. Details Primary Language English Subjects Health Care Administration Journal Section Case Report Authors Neşe Ekinci 0000-0003-3402-0619 Türkiye Arzu Avcı 0000-0002-5522-0022 Türkiye Emine Özlem Gür 0000-0003-2749-2220 Türkiye Publication Date December 30, 2019 Submission Date July 10, 2018 Acceptance Date October 5, 2018 Published in Issue Year 2019 Volume: 58 Number: 4

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endometriosischronic_pelvic_pain

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