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Published 28 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.04.2009.1820]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Endometriosis of the appendix presenting as acute appendicitis

Gürkan Yetkin, Mehmet Uludag, Bülent Citgez, Nedim Polat

Sisli Etfal Hospital, Etfal sokak no 1, Istanbul, 34360, Turkey

Correspondence to:
Gurkan Yetkin, dryetkin{at}yahoo.com

SUMMARY

As with other types of endometriosis in the intestinal tract, endometriosis of the appendix is generally asymptomatic and is usually discovered incidentally during laparotomy in patients with pelvic endometriosis. When it presents with symptoms they are difficult to differentiate from acute appendicitis. Appendiceal endometriosis may not only cause symptoms of acute appendicitis, but may also present as cyclic and chronic right lower quadrant pain, melena, lower intestinal haemorrhage and caecal intussusception. We report a case of appendiceal endometriosis clinically presenting as acute appendicitis, where the definitive diagnosis was established by histopathological examination of the appendix.


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