Endometriosis of the appendix

Yoon, Ji-Ho; Lee, Yong Sang; Chang, Hang Seok; Park, Cheong Soo

doi:10.4174/astr.2014.87.3.144

Cited by 26 publications

(34 citation statements)

References 12 publications

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“…Computed tomography may show evidence of acute appendicitis but findings are usually nonspecific in cases of endometriosis as seen in our case. 1 Laparoscopy is considered gold standard for diagnosis of endometriosis. In our patient during laparoscopy gross inspection of appendix did not show any evidence of endometriosis but microscopic examination showed features of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

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Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Pipara

Banerjee

2017

Int J Reprod Contracept Obstet Gynecol

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Endometriosis is an oestrogen dependent inflammatory disease characterised by presence of endometrial tissue outside the uterine cavity. It affects 15% of female patients in reproductive age. Endometriosis is a very common cause of chronic pelvic pain and subfertility in females. We present a case of a 26-year-old woman with chronic lower abdominal pain on medical management of endometriosis. She presented to us with acute abdominal pain and underwent diagnostic laparoscopy. During surgery, we observed minimal haemoperitoneum with frozen pelvis. The appendix appeared slightly inflamed and an appendicectomy with adhesiolysis was done. The histopathological examination showed endometriosis of appendix. Her postoperative period was uneventful. The patient has been followed up postoperatively and is currently doing well.

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Section: Discussionmentioning

confidence: 99%

“…1 It affects 15% of female patients in reproductive age. 2 Endometriosis is a very common cause of chronic pelvic pain and subfertility in females.…”

Section: Introductionmentioning

confidence: 99%

Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Pipara

Banerjee

2017

Int J Reprod Contracept Obstet Gynecol

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“…Endometriosis of the appendix causing acute appendicitis is rare and constitutes less than 1% of all appendiceal pathologic conditions that can mimic acute appendicitis (34,35). It can also be associated with intussusception into the cecum (11) (Fig 16). Lesions preferentially affect the body and tip of the appendix (Figs 17, 18).…”

Section: Appendixmentioning

confidence: 99%

“…Pelvic endometriosis has a somewhat predictable and repetitive distribution practice and allows a comprehensive evaluation for patient counseling and preoperative planning. The pelvic cavity, abdominal wall, small bowel, appendix, and inguinal area can be evaluated with transvaginal ultrasonography (US) after bowel preparation, high-resolution US with a linear transducer, and magnetic resonance (MR) imaging (4,7,(10)(11)(12)(13). Thoracic endometriosis can be assessed with conventional radiography, thin-section computed tomography (CT), and thoracic MR imaging (10,14).…”

Section: Introductionmentioning

confidence: 99%

Atypical Sites of Deeply Infiltrative Endometriosis: Clinical Characteristics and Imaging Findings

et al. 2018

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Endometriosis is defined as the presence of endometrial tissue that is located outside the uterine cavity and associated with fibrosis and inflammatory reaction. It is a polymorphic and multifocal disease with no known cure or preventive mechanisms. Patients may be asymptomatic or may experience chronic pelvic pain, dysmenorrhea, dyspareunia, or infertility. The pelvic cavity is the most common location for endometriotic implants, which usually affect the retrocervical space, ovaries, vagina, rectosigmoid colon, bladder dome, and round ligaments. Atypical endometriosis is rare and difficult to diagnose. The most common atypical locations are the gastrointestinal tract, urinary tract, lung, umbilicus, inguinal area, breast, and pelvic nerves, as well as abdominal surgical scars. Gastrointestinal lesions are the most common extragenital manifestation, and the diaphragm is the most frequent extrapelvic site. The catamenial nature of the symptoms (occurring between 24 hours before and 72 hours after the onset of menstruation) may help suggest the diagnosis, but imaging by specialists is fundamental to evaluation. Depending on the area affected, radiography, ultrasonography, thin-section computed tomography, or magnetic resonance imaging can be used to assess suspected lesions. Because isolated extragenital endometriosis is rare, concomitant evaluation of the pelvic cavity is mandatory. Surgical excision is the only therapeutic option for definitive treatment, and comprehensive disease mapping is necessary to avoid residual disease. The authors review atypical locations for endometriosis and emphasize the most appropriate imaging protocols for investigation of various clinical manifestations. Online supplemental material is available for this article. RSNA, 2018.

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“…Endometriotic involvement of the gastrointestinal (GI) tract may cause a spectrum of symptoms, ranging from simple to complex. 2 However, a third of patients may be asymptomatic; and diagnosed incidentally. 3 Endometriosis is a clinical diagnosis of exclusion, and diagnosis of endometriosis is established through laparoscopic procedures retrieving tissue biopsy.…”

Section: Introductionmentioning

confidence: 99%

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

Guan¹,

Rezai²,

Patel³

et al. 2018

OGIJ

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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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Endometriosis of the appendix

Cited by 26 publications

References 12 publications

Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Atypical Sites of Deeply Infiltrative Endometriosis: Clinical Characteristics and Imaging Findings

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

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