Isolated Appendiceal Endometriosis

Amanda Yang Shen, Shen AY, Aaron Stanes, Stanes A
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2016 · vol. 38(10) , pp. 979–981 · doi:10.1016/j.jogc.2016.06.006 · PMID:27720099 · W2464242166
article OA: closed CC0 ⤵ 11 in-corpus citations
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This paper reviews cases of isolated appendiceal endometriosis, a rare condition where endometriosis is found only in the appendix, exploring its presentation and management.

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Abstract

BackgroundPain associated with appendiceal endometriosis can mimic other intra-abdominal pathology. The diagnosis is usually obvious during gross inspection of the appendix; however, the absence of classical macroscopic appearances may lead to missed cases in which the patient's pain is misdiagnosed and inappropriately managed.CaseA 34-year-old woman presented with cyclical right iliac fossa pain and an elevated serum C-reactive protein of 13 mg/L (normal < 5 mg/L). Diagnostic laparoscopy showed an isolated appendiceal mass with no pelvic endometriosis, and an appendectomy was performed. Histopathology demonstrated appendiceal endometriosis without macroscopic involvement of other pelvic organs.ConclusionThis case gives insight into the pathophysiology of endometriosis. We advocate routine appendectomy in women with unexplained recurrent abdominal pain because a diagnostic laparoscopy may miss isolated endometriosis of the appendix, and we now have evidence that this may have no external features suggesting the diagnosis. Additionally, endometriosis can involve the gastrointestinal tract without involvement of the reproductive organs. This is important information in the further progression of theories underlying the pathophysiology of endometriosis.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Appendectomy Appendix Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Adult Appendicitis Appendix Diagnosis, Differential Female Humans Pelvic Pain Pelvic Pain Pelvic Pain

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 (10)

Cited by (11)

Source provenance

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License: CC0 · commercial use OK