A Case of Endometriosis of the Appendix

Hirofumi Fuke, Hyoe Sato, Hirotaka Higashiyama
In: Digestive Endoscopy · 1992 · vol. 4(4) , pp. 450–455 · doi:10.1111/j.1443-1661.1992.tb00113.x · W2017541513
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This case report describes a 51-year-old woman diagnosed with endometriosis of the appendix via preoperative radiography and endoscopy, leading to partial cecum resection and histopathological confirmation.

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Abstract

Abstract: A 51‐year‐old woman visited our clinic her chief complaint being right hypogastric discomfort. An abdominal ultrasonography revealed a circular, cystic mass in the right hypogastric region. A colorectal radiography disclosed a semi‐globular shadow defect at the end of the cecum and did not visualize the appendix. A colorectal endoscopy revealed a submucosal tumor accompanied by a central dimple which seemed to represent the ostium appendicis vermiformis. Based on a preoperative diagnosis of submucosal tumor, the patient underwent a partial resection of the cecum. A histopathological examination of tissue removed led to a diagnosis of endometriosis of the appendix. In Japan, 7 cases of endometriosis of the appendix have been reported to date. In those cases, endometriosis of the appendix was detected as a lesion accompanying endometriosis of some other site or during laparotomy was based on a diagnosis of acute appendicitis. Unlike these cases, the patient presented here had been diagnosed by a preoperative colorectal radiography and endoscopy as having a submucosal tumor of the appendix.

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Condition tags

endometriosis

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References (11)

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