DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172362

Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Priyanka Pipara, Ramna Banerjee

Abstract


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.


Keywords


Abdominal pain, Appendix, Endometriosis, Laparoscopy

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References


Yoon J, Lee YS, Chang H-S, Park CS. Endometriosis of the appendix. Ann Surg Treat Res. 2014;87(3):144-7.

Khairy GA. Endometriosis of the appendix: a trap for the unwary. Saudi J Gastroenterol Off J Saudi Gastroenterol Assoc. 2005;11(1):45-7.

Hasegawa T, Yoshida K, Matsui K. Endometriosis of the appendix resulting in perforated appendicitis. Case Rep Gastroenterol. 2007;1(1):27-31.

Al Oulaqi NS, Hefny AF, Joshi S, Salim K, Abu-Zidan FM. Endometriosis of the appendix. Afr Health Sci. 2008;8(3):196-8.

Uncu H, Taner D. Appendiceal endometriosis: two case reports. Arch Gynecol Obstet. 2008;278(3):273-5.

Papavramidis TS, Sapalidis K, Michalopoulos N, Karayanopoulou G, Raptou G, Tzioufa V, et al. Spontaneous abdominal wall endometriosis: a case report. Acta Chir Belg. 2009;109(6):778-81.

Collins DC. A study of 50,000 specimens of the human vermiform appendix. Surg Gynecol Obstet. 1955;101(4):437-45.

Berker B, Lashay N, Davarpanah R, Marziali M, Nezhat CH, Nezhat C. Laparoscopic appendectomy in patients with endometriosis. J Minim Invasive Gynecol. 2005;12(3):206-9.

Laskou S, Papavramidis TS, Cheva A, Michalopoulos N, Koulouris C, Kesisoglou I, et al. Acute appendicitis caused by endometriosis: a case report. J Med Case Reports. 2011;5:144.

Barrier BF, Frazier SR, Brennaman LM, Taylor JC, Ramshaw BJ. Catamenial appendicitis. Obstet Gynecol. 2008;111(2 Pt 2):558-61.

Wie HJ, Lee JH, Kyung MS, Jung US, Choi JS. Is incidental appendectomy necessary in women with ovarian endometrioma? Aust N Z J Obstet Gynaecol. 2008;48(1):107-11.