Perforated endometrial appendicitis in pregnancy.
BACKGROUND
Endometriosis is a common disorder in women of reproductive age. A rare localization is the appendix, which, in most cases, is an incidental finding during appendectomies. The incidence of symptomatic appendiceal endometriosis or endometrial appendicitis might be increased in pregnancy. Moreover, endometrial appendicitis in pregnancy is more likely to present in an advanced stage, given the physiologic changes characterizing the gravid abdomen.


METHODS
Description of a case of a pregnant woman presenting to the A&E with acute peritonitis attributable to advanced appendicitis. She underwent emergency laparotomy with appendectomy. The biopsy specimen was examined by the pathology laboratory of the same hospital.


RESULTS
The laparotomy revealed perforated appendicitis. The histopathology report described acute endometrial appendicitis.
Royal London Hospital , Barts and The London NHS Trust, London, UK.
E
E
Giorgakis
V
V
Karydakis
A
A
Farghaly
appendiceal endometriosis; endometrial appendicitis; gestational appendicitis; pregnancy appendicitis