title: Endometriosis of the appendix presenting as acute appendicitis: a case report and literature review.
abstract: Endometriosis is a common disease generally, but appendiceal endometriosis causing acute appendicitis is a very uncommon clinical phenomenon and a few cases have been reported. The authors aim to highlight the rarity of such clinical entity in Nigeria. A 29 year old nulliparous woman presented with severe right iliac fossa pains, tenderness and rebound tenderness on her second day of menstruation. She subsequently had appendicectomy and a histopathological diagnosis of appendiceal endometriosis causing acute appendicitis. Appendiceal endometriosis causing acute appendicitis is rare, and definitive diagnosis is performed through histopathological evaluation. Post-operative gynaecological follow-up is highly recommended.
authors.affiliation: Department of Surgery, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
authors.forename: Stanley
authors.initials: S
authors.lastname: Uwaezuoke
authors.forename: Ezenwa
authors.initials: E
authors.lastname: Udoye
authors.forename: Ebitimitula
authors.initials: E
authors.lastname: Etebu
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis*; D001065:Appendix / Q000473:pathology; D002429:Cecal Diseases / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans
keywords: Appendicitis; Appendix; Endometriosis
references.citation: Am J Surg. 1981 Oct;142(4):519-21
references.pmid: 7283059
references.citation: Am J Gastroenterol. 1995 Oct;90(10):1881-3
references.pmid: 7572915
references.citation: Singapore Med J. 2004 Sep;45(9):435-6
references.pmid: 15334288
references.citation: J Reprod Med. 1984 Aug;29(8):625-9
references.pmid: 6481717
references.citation: Br J Obstet Gynaecol. 1981 Apr;88(4):456-8
references.pmid: 7194686
references.citation: BMJ Case Rep. 2009;2009:
references.pmid: 21712861
references.citation: Acta Pathol Jpn. 1987 Oct;37(10):1685-90
references.pmid: 3324642
references.citation: BJOG. 2004 Nov;111(11):1213-7
references.pmid: 15521865
references.citation: J Obstet Gynaecol. 2004 Oct;24(7):804-8
references.pmid: 15763794
references.citation: J Med Case Rep. 2008 Jan 22;2:12
references.pmid: 18211674
references.citation: Br J Surg. 1981 Feb;68(2):121-4
references.pmid: 7459615
references.citation: Pathol Int. 1995 Oct;45(10):757-61
references.pmid: 8563937
references.citation: Acta Chir Belg. 2006 Nov-Dec;106(6):712-3
references.pmid: 17290703
references.citation: J Med Case Rep. 2011 Apr 11;5:144
references.pmid: 21481248
references.citation: Case Rep Gastroenterol. 2007 Jun 22;1(1):27-31
references.pmid: 21487468