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Cecal endometriosis presenting as acute appendicitis.

Alizadeh Otaghvar H, Hosseini M, Shabestanipour G, Tizmaghz A, Sedehi Esfahani G - Case Rep Surg (2014)

Bottom Line: The aim of our paper is to show the diagnosis of Coecal endometriosis as an infrequent reason of right iliac fossa pain. cecal endometriosis manifesting with right lower quadrant pain is difficult to diagnose, and it may even sometimes require laparotomy for diagnosis and treatment.We report here a case of cecal endometriosis causing clinically resembled acute appendicitis.In our patient, a diagnosis of cecal endometriosis was made postoperatively by microscopic examination of excised right colon, and the patient symptoms and general condition were improved after the surgery (open right hemicolectomy and ileocolic anastomosis).

View Article: PubMed Central - PubMed

Affiliation: Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran 1449614535, Iran.

ABSTRACT
The aim of our paper is to show the diagnosis of Coecal endometriosis as an infrequent reason of right iliac fossa pain. cecal endometriosis manifesting with right lower quadrant pain is difficult to diagnose, and it may even sometimes require laparotomy for diagnosis and treatment. We report here a case of cecal endometriosis causing clinically resembled acute appendicitis. In our patient, a diagnosis of cecal endometriosis was made postoperatively by microscopic examination of excised right colon, and the patient symptoms and general condition were improved after the surgery (open right hemicolectomy and ileocolic anastomosis).

No MeSH data available.


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Mentions: A 43-year-old woman with no medical history was admitted to the hospital with a one-day history of right iliac fossa pain, nausea, and vomiting. Her menses had been irregular, with occasional dysmenorrhea. The abdominal examination revealed right lower quadrant tenderness. The white blood cell count was 10900/mm3. On abdominal ultrasound, calcified appendicolith is seen as a hyperechoic focus at caeco-appendiceal junction. A diagnosis of acute appendicitis was made clinically and the patient underwent McBurney incision for open appendectomy. There were multiple lymphadenitis in the mesoappendix and abnormal shaped coecum with a brown-colored planed mass on the base of the appendix that extended to the wall of the coecum, measuring 3 cm in diameter (Figure 1). No other similar lesions were found. The uterus and the ovary were normal. A standard right hemicolectomy was performed by laparotomy after consulting the gynecologist.


Cecal endometriosis presenting as acute appendicitis.

Alizadeh Otaghvar H, Hosseini M, Shabestanipour G, Tizmaghz A, Sedehi Esfahani G - Case Rep Surg (2014)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4120490&req=5

Mentions: A 43-year-old woman with no medical history was admitted to the hospital with a one-day history of right iliac fossa pain, nausea, and vomiting. Her menses had been irregular, with occasional dysmenorrhea. The abdominal examination revealed right lower quadrant tenderness. The white blood cell count was 10900/mm3. On abdominal ultrasound, calcified appendicolith is seen as a hyperechoic focus at caeco-appendiceal junction. A diagnosis of acute appendicitis was made clinically and the patient underwent McBurney incision for open appendectomy. There were multiple lymphadenitis in the mesoappendix and abnormal shaped coecum with a brown-colored planed mass on the base of the appendix that extended to the wall of the coecum, measuring 3 cm in diameter (Figure 1). No other similar lesions were found. The uterus and the ovary were normal. A standard right hemicolectomy was performed by laparotomy after consulting the gynecologist.

Bottom Line: The aim of our paper is to show the diagnosis of Coecal endometriosis as an infrequent reason of right iliac fossa pain. cecal endometriosis manifesting with right lower quadrant pain is difficult to diagnose, and it may even sometimes require laparotomy for diagnosis and treatment.We report here a case of cecal endometriosis causing clinically resembled acute appendicitis.In our patient, a diagnosis of cecal endometriosis was made postoperatively by microscopic examination of excised right colon, and the patient symptoms and general condition were improved after the surgery (open right hemicolectomy and ileocolic anastomosis).

View Article: PubMed Central - PubMed

Affiliation: Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran 1449614535, Iran.

ABSTRACT
The aim of our paper is to show the diagnosis of Coecal endometriosis as an infrequent reason of right iliac fossa pain. cecal endometriosis manifesting with right lower quadrant pain is difficult to diagnose, and it may even sometimes require laparotomy for diagnosis and treatment. We report here a case of cecal endometriosis causing clinically resembled acute appendicitis. In our patient, a diagnosis of cecal endometriosis was made postoperatively by microscopic examination of excised right colon, and the patient symptoms and general condition were improved after the surgery (open right hemicolectomy and ileocolic anastomosis).

No MeSH data available.


Related in: MedlinePlus