Endometriosis of the vermiform appendix as an exceptional cause of acute perforated appendicitis during pregnancy
Case report
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This case report details a rare instance of perforated appendicitis during pregnancy caused by transmural endometriosis with a decidual reaction.
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Abstract
The incidence of appendicitis presenting during pregnancy is less than 1 in 1500. Most cases of endometriosis of the appendix are discovered as a result of incidental appendectomy. True perforated appendicitis in an endometriotic area has not been reported before. The authors report the case of a 28-year-old woman in her 27th week of pregnancy who underwent an appendicectomy for inflamed, perforated appendix with transmural endometriosis and accompanying decidual reaction.
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References (4)
- Endometriosis of the appendix presenting as acute appendicitis via openalex
- Endometriosis of the appendix. Report of twelve cases and review of the literature via openalex
- Endometriosis of the vermiform appendix (EVA) is an uncommon lesion with a frequency < 1% of all cases of pelvic endometriosis. Recent case via openalex
- W2001148568 via openalex
Cited by (24)
- Fatal complications during pregnancy and delivery in women with profound endometriosis infiltrates: what is new in general clinical practice 2023
- Ultrasound appearance of decidualized non-ovarian endometriotic lesions during pregnancy and after delivery 2023
- Endometriosis: The Enigma That It Continues to Be 2022
- Endometriosis in pregnancy 2020
- Associated ileocaecal location is a marker for greater severity of low rectal endometriosis 2019
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- Gynecologic Etiologies of Abdominal Pain in Pregnancy 2017
- Maternal and neonatal outcomes in women with colorectal endometriosis 2016
- Endometrial decidualization: a rare cause of acute appendicitis during pregnancy 2016
- Puerperal ileal perforation secondary to endometriosis: Case report and literature review 2016
- A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes 2015
- Deep endometriosis induced spontaneous colon rectal perforation in pregnancy: laparoscopy is advanced tool to confirm diagnosis 2014
- Bowel Endometriosis: An Overview 2014
- Appendiceal endometriosis and carcinoid presented as acute appendicitis in pregnancy: a rare case report and review of the literature 2013
- Bowel Endometriosis with Hemoperitoneum Complicating Pregnancy 2013
- Ileal perforation and massive intestinal haemorrhage from endometriosis in pregnancy: case report and literature review 2013
- A rare differential diagnosis of acute appendicitis: Appendiceal endometriosis 2012
- Tuba ovarian abscesses formation from decidualized ovarian endometrioma after appendiceal endometriosis presenting as acute appendicitis in pregnancy 2012
- Urinary Tract Endometriosis 2012
- Rectal perforation from endometriosis in pregnancy: case report and literature review 2010
- Endometriosis of the Vermiform Appendix Presenting as a Tumor 2009
- Appendectomy in retrograde order for complete removal of endometriosis 2009
- Can pregnancy impose a higher risk of perforation in patients with appendiceal endometriosis? 2008
- Can pregnancy impose a higher risk of perforation in patients with appendiceal endometriosis? 2008
Source provenance
- europepmc
- last seen: 2026-10-17T06:09:56.316927+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:54.692383+00:00
License: CC0
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