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Endometriosis of the appendix presenting as acute appendicitis

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Case Report

Author Details : Kafil Akhtar, Mohd Talha, Shivani Gupta, Ashok Kumar

Volume : 3, Issue : 1, Year : 2018

Article Page : 43-46

https://doi.org/10.18231/2456-9267.2018.0009

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Abstract

Acute appendicitis is a surgical emergency and accounts for 27.5% of the surgical cases. It is a very common cause of non-gynecologic lower abdominal pain and may occur simultaneously with a variety of gynecologic diseases. We report a case of a 24 years old female, who presented to the surgical emergency department with complaints of acute pain in abdomen for the last 1 day with tenderness in right iliac fossa. Laboratory reports showed leucocytosis with neutrophilia, with presence of toxic granules. A provisional diagnosis of appendicitis was made and the patient was operated. The appendectomy specimen on histopathological examination showed ectopic endometrial glands and stroma in the serosa, based on which a diagnosis of appendiceal endometriosis was given. This case emphasizes the importance of considering the diagnosis of appendiceal endometriosis in a young female of child bearing age with a clinical diagnosis of appendicitis.

Keywords: Appendicitis, Endometriosis, Endometrial glands, Stroma.

How to cite : Akhtar K, Talha M, Gupta S, Kumar A, Endometriosis of the appendix presenting as acute appendicitis. IP Arch Cytol Histopathol Res 2018;3(1):43-46

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