Endometriosis of the meso-appendix mimicking appendicitis: A case report

In: South African Journal of Obstetrics and Gynaecology · 2016 · vol. 22(1) , pp. 33 · doi:10.7196/sajog.995 · W2526320594
article OA: diamond CC0 ⤵ 2 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-11

This case report details a 33-year-old woman presenting with appendicitis symptoms and imaging, who was found to have endometriosis of the meso-appendix upon surgical removal and histological examination.

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Abstract

Although appendicitis is largely a clinical diagnosis, on occasions diagnostic modalities may be needed to aid with the diagnosis. Despite the use of adjuncts and exploratory surgery, the diagnosis may not be clear until a histological diagnosis is achieved. Endometriosis of the appendix mimicking appendicitis is one of these diagnoses described in several case reports. Endometriosis of the meso-appendix has been described in association with intussusception of the appendix in several case reports. However, to our knowledge, endometriosis of the meso-appendix mimicking appendicitis has not been reported to date. We present the case of a 33-year-old woman with classic clinical signs and symptoms of appendicitis endorsed on computed tomography imaging. The patient underwent a laparoscopic appendicectomy with the postoperative histology demonstrating a normal appendix with endometriosis of the meso-appendix.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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