The Intussusception of Appendix Due to Extrapelvic Endometriosis: A Case Report
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Abstract
Endometriosis is among the most frequent causes of appendiceal intussusception. However, there are limited data about this condition. Still, clinical manifestations, diagnosis, and treatment are the same in almost all cases due to accidental implantation of endometrial tissue inside the appendiceal wall. Finally, the only choice of treatment is appendectomy.
Here we describe a middle-aged woman with vague pelvic pain that underwent a laparoscopic cystectomy, and during surgery, we came across a mass-like appendix. The pathology report declared that some endometrial tissue inside the appendix confirms the diagnosis of appendiceal intussusception due to endometriosis.
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[5] Mabrouk M, Raimondo D, Mastronardi M, Raimondo I, Del Forno S, Arena A, et al. Endometriosis of the appendix: When to predict and how to manage-a multivariate analysis of 1935 endometriosis cases. Journal of Minimally Invasive Gynecology. 2020; 27(1):100-6. [DOI:10.1016/j.jmig.2019.02.015] [PMID]
[6] Luzier J, Verhey P, Dobos N. Preoperative CT diagnosis of appen- diceal intussusception. American Journal of Roentgenology. 2006; 187(3):W325-6. [DOI:10.2214/AJR.06.0103] [PMID]
[7] Ram AD, Peckham C, Akobeng AK, Thomas AG, David TJ, Patel L. In- verted appendix mistaken for a polyp during colonoscopy and lead- ing to intussusception. Journal of Cystic Fibrosis. 2005; 4(3):203-4. [DOI:10.1016/j.jcf.2005.03.002] [PMID]
[8] Saleem A, Navarro P, Munson JL, Hall J. Endometriosis of the ap- pendix: Report of three cases. International Journal of Surgery Case Reports. 2011; 2(2):16-19. [DOI:10.1016/j.ijscr.2010.11.001] [PMID] [PMCID]
[9] Perez CM, Minimo C, Margolin G, Orris J. Appendiceal endome- triosis presenting as acute appendicitis during pregnancy. Inter- national Journal of Gynecology & Obstetrics. 2007; 98(2):164-7. [DOI:10.1016/j.ijgo.2007.03.043] [PMID]
[10] ASGE Standards of Practice Committee, Fisher DA, Maple JT, Ben- Menachem T, Cash BD, Decker GA, Early DS, et al. Complications of colonoscopy. Gastrointestinal Endoscopy. 2011; 74(4):745-52. [DOI:10.1016/j.gie.2011.07.025] [PMID]
[11] Costa M, Bento A, Batista H, Oliveira F. Endometriosis-induced intussusception of the caecal appendix. BMJ Case Reports. 2014; 2014:bcr2013200098. [DOI:10.1136/bcr-2013-200098] [PMID] [PMCID]
[2] Ijaz S, Lidder S, Mohamid W, Carter M, Thompson H. Intussuscep- tion of the appendix secondary to endometriosis: A case report. Journal of Medical Case Reports. 2008; 2:12. [DOI:10.1186/1752- 1947-2-12] [PMID] [PMCID]
[3] Charatsi D, Koukoura O, Ntavela IG, Chintziou F, Gkorila G, Tsagkoulis M, et al. Gastrointestinal and urinary tract endometriosis: A review on the commonest locations of extrapelvic endometriosis. Advanc- es in Medicine. 2018; 2018:3461209. [DOI:10.1155/2018/3461209] [PMID] [PMCID]
[4] Bergqvist A. Extragenital endometriosis. A review. The European Journal of Surgery. 1992; 158(1):7-12. [PMID]
[5] Mabrouk M, Raimondo D, Mastronardi M, Raimondo I, Del Forno S, Arena A, et al. Endometriosis of the appendix: When to predict and how to manage-a multivariate analysis of 1935 endometriosis cases. Journal of Minimally Invasive Gynecology. 2020; 27(1):100-6. [DOI:10.1016/j.jmig.2019.02.015] [PMID]
[6] Luzier J, Verhey P, Dobos N. Preoperative CT diagnosis of appen- diceal intussusception. American Journal of Roentgenology. 2006; 187(3):W325-6. [DOI:10.2214/AJR.06.0103] [PMID]
[7] Ram AD, Peckham C, Akobeng AK, Thomas AG, David TJ, Patel L. In- verted appendix mistaken for a polyp during colonoscopy and lead- ing to intussusception. Journal of Cystic Fibrosis. 2005; 4(3):203-4. [DOI:10.1016/j.jcf.2005.03.002] [PMID]
[8] Saleem A, Navarro P, Munson JL, Hall J. Endometriosis of the ap- pendix: Report of three cases. International Journal of Surgery Case Reports. 2011; 2(2):16-19. [DOI:10.1016/j.ijscr.2010.11.001] [PMID] [PMCID]
[9] Perez CM, Minimo C, Margolin G, Orris J. Appendiceal endome- triosis presenting as acute appendicitis during pregnancy. Inter- national Journal of Gynecology & Obstetrics. 2007; 98(2):164-7. [DOI:10.1016/j.ijgo.2007.03.043] [PMID]
[10] ASGE Standards of Practice Committee, Fisher DA, Maple JT, Ben- Menachem T, Cash BD, Decker GA, Early DS, et al. Complications of colonoscopy. Gastrointestinal Endoscopy. 2011; 74(4):745-52. [DOI:10.1016/j.gie.2011.07.025] [PMID]
[11] Costa M, Bento A, Batista H, Oliveira F. Endometriosis-induced intussusception of the caecal appendix. BMJ Case Reports. 2014; 2014:bcr2013200098. [DOI:10.1136/bcr-2013-200098] [PMID] [PMCID]
| Files | ||
| Issue | Vol 6 No 6 (2021): November-December | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v6i6.9167 | |
| Keywords | ||
| Endometriosis Appendicitis Intussusception Abdominal pain Laparoscopy | ||
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How to Cite
1.
Mirhashemi S, Ebrahimian M, Kialashaki M, Jamali E. The Intussusception of Appendix Due to Extrapelvic Endometriosis: A Case Report. CRCP. 2022;6(6):231-234.
