Case Report
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Diverticular disease and endometriosis of the vermiform appendix: A unique combination

Year 2019, Volume: 58 Issue: 4, 412 - 414, 30.12.2019
https://doi.org/10.19161/etd.665508

Abstract

Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. Appendiceal endometriosis, which is very rare, may have nonspecific presentation such as chronic pelvic pain, but sometimes it can masquerade clinically as acute appendicitis. Also appendiceal diverticulum may be congenital or acquired and is an infrequently encountered lesion. They are often asymptomatic but when diverticulitis or perforation develops, it may clinically mimic acute abdomen of acute suppurative appendicitis. Herein we report a case with a unique combination of appendiceal diverticulosis and endometriosis in a 39-year-old woman that was diagnosed preoperatively as acute appendicitis.

References

  • Laskou S, Papavramidis TS, Cheva A, et al. Acute appendicitis caused by endometriosis: a case report. J Med Case Rep. 2011; 5: 144.
  • Khairy GA. Endometriosis of the appendix: A trap for the unwary. Saudi J Gastroenterol. 2005; 11 (1): 45-7.
  • Dupre M, Jadavji I, Matshes E, Urbanski SJ. Diverticular disease of vermiform appendix: a diagnostic clue to underlying appendiceal neoplasm. Hum Path. 2008; 39: 1823-6.
  • Majeski J. Diverticulum of the vermiform appendix is associated with chronic abdominal pain. Am J Surg. 2003; 186: 129-31.
  • Marcacuzco AA, Manrique A, Calvo J, et al. Clinical implications of diverticular disease of the appendix. Experience over the past 10 years. Cir Esp. 2016; 94 (1): 44-7.
  • Curbelo-Peña Y, Guedes-De la Puente X, Saladich-Cubero M, Molinas-Bruguera J, Molineros J, De Caralt-Mestres E. Endometriosis causing acute appendicitis complicated with hemoperitoneum. J Surg Case Rep. 2015; 2015 (8): rjv097.
  • Terada T. Diverticulosis of vermiform appendix: incidence and report of 6 cases. Case Rep in Clin Path. 2017; 4 (1): 18-21.

Apendiks vermiformiste divertiküler hastalık ve endometriozis: Özgün bir kombinasyon

Year 2019, Volume: 58 Issue: 4, 412 - 414, 30.12.2019
https://doi.org/10.19161/etd.665508

Abstract

Endometriozis, endometriyal bez ve stromanın uterin kavite dışında görülmesi ile karakterlidir. Oldukça nadir görülen apendisyel endometriozis, kronik pelvik ağrı gibi nonspesifik bulgularla seyredebileceği gibi bazen klinik olarak akut apandisiti de taklit edebilir. Apendisyel divertikül konjenital veya edinsel olabilir ve görülme sıklığı nadirdir. Genellikle asemptomatiktir; ancak divertikülit veya perforasyon geliştiğinde, akut süpüratif apandisitin akut batın tablosunu taklit edebilir. Bu çalışmada preoperatif olarak akut apandisit tanısı konulan 39 yaşındaki kadın hastada apendisyel divertikülozis ve endometriozis birlikteliğinin özgün olması nedeni ile olgumuz sunulmuştur.

References

  • Laskou S, Papavramidis TS, Cheva A, et al. Acute appendicitis caused by endometriosis: a case report. J Med Case Rep. 2011; 5: 144.
  • Khairy GA. Endometriosis of the appendix: A trap for the unwary. Saudi J Gastroenterol. 2005; 11 (1): 45-7.
  • Dupre M, Jadavji I, Matshes E, Urbanski SJ. Diverticular disease of vermiform appendix: a diagnostic clue to underlying appendiceal neoplasm. Hum Path. 2008; 39: 1823-6.
  • Majeski J. Diverticulum of the vermiform appendix is associated with chronic abdominal pain. Am J Surg. 2003; 186: 129-31.
  • Marcacuzco AA, Manrique A, Calvo J, et al. Clinical implications of diverticular disease of the appendix. Experience over the past 10 years. Cir Esp. 2016; 94 (1): 44-7.
  • Curbelo-Peña Y, Guedes-De la Puente X, Saladich-Cubero M, Molinas-Bruguera J, Molineros J, De Caralt-Mestres E. Endometriosis causing acute appendicitis complicated with hemoperitoneum. J Surg Case Rep. 2015; 2015 (8): rjv097.
  • Terada T. Diverticulosis of vermiform appendix: incidence and report of 6 cases. Case Rep in Clin Path. 2017; 4 (1): 18-21.
There are 7 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Neşe Ekinci 0000-0003-3402-0619

Sultan Deniz Altındağ 0000-0002-7167-2432

Arzu Avcı 0000-0002-5522-0022

Emine Özlem Gür 0000-0003-2749-2220

Publication Date December 30, 2019
Submission Date July 10, 2018
Published in Issue Year 2019Volume: 58 Issue: 4

Cite

Vancouver Ekinci N, Altındağ SD, Avcı A, Gür EÖ. Diverticular disease and endometriosis of the vermiform appendix: A unique combination. EJM. 2019;58(4):412-4.