Artículos de revistas
Appendiceal endometriosis as a rare cause of abdominal pain - a case report and literature review
Fecha
2012-12-01Registro en:
Journal of Coloproctology, v. 32, n. 3, p. 324-328, 2012.
2237-9363
10.1590/S2237-93632012000300020
S2237-93632012000300020
2-s2.0-84874779318
2-s2.0-84874779318.pdf
Autor
Hospital Municipal Dr. Mário Gatti
Santa Casa de Ourinhos
GASTROSAUDE Clinic
Sociedade Brasileira de Coloproctologia
Universidade Estadual Paulista (Unesp)
Institución
Resumen
Endometriosis is an estrogen-dependent inflammatory disease, common in young women, characterized by the presence of endometrial tissue outside the uterine cavity. This ectopic endometrial tissue is most commonly found in the ovaries, peritoneum, uterosacral ligaments and rectovaginal cul-de-sac, with extremely rare involvement of the appendix. The main symptom is chronic abdominal pain, and the diagnosis is often made later, after the result of the histopathological examination. This study reports a 34-year-old patient complaining of chronic pelvic pain refractory to medical treatment, having undergone diagnostic laparotomy. During the surgery, we observed the presence of endometrioma fixed to the uterine wall, and the appendix was enlarged, but without evidence of inflammation. Endometrioma resection and appendectomy were performed, with good postoperative recovery. The anatomopathological exam showed endometriosis in the cecal appendix.