¿Puede ser una apendicitis aguda la primera manifestación de endometriosis?

Q4 Medicine

Progresos en Obstetricia y Ginecologia Pub Date : 2015-11-01 DOI:10.1016/j.pog.2015.04.008

Arturo Cruz Cidoncha , Álvaro Robín , Asunción Aguilera Velardo , Patricia López Quindós , Marta Muñoz , Enrique González González , Armando Galván Pérez , Daniel Melero Montes , Natividad Palencia García , Luis Alberto Blázquez Hernando , Carmen Jimenez Ceinos , Miguel Ángel García-Ureña

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Abstract

Aim

To determine the relationship between endometriotic involvement of the appendix and the development of acute appendicitis.

Patients and methods

We report a series of 8 patients with appendiceal endometriosis diagnosed after appendicectomy from June 2009 to March 2014.

Results

The mean age was 40.6 years. Six patients were of reproductive age. Endometriotic appendiceal involvement alone was found in 5 patients (62.5%) and multiorgan involvement, mainly affecting the ovary, in 3 patients (37.5%). Clinical presentation was acute appendicitis in 7 patients (87.5%). Endometriotic implants involved the serous layer in 6 patients, the muscle layer in one patient, and periappendiceal fat in another patient.

Conclusion

Diagnosis of appendiceal endometriosis in women with acute appendicitis can only be performed after specimen study, although it may be suspected in the clinical context. Laparoscopy allows pelvic and abdominal cavity examination, appendectomy, and the treatment of other lesions.

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急性阑尾炎会是子宫内膜异位症的第一个表现吗?

目的探讨子宫内膜异位症累及阑尾与急性阑尾炎的关系。患者和方法我们报告了2009年6月至2014年3月阑尾切除术后诊断为阑尾子宫内膜异位症的8例患者。结果患者平均年龄40.6岁。6例患者为育龄期。子宫内膜异位性阑尾受累5例(62.5%)，多脏器受累3例(37.5%)，主要累及卵巢。临床表现为急性阑尾炎7例(87.5%)。子宫内膜异位症植入物累及浆膜层6例，肌肉层1例，阑尾周围脂肪1例。结论急性阑尾炎患者阑尾子宫内膜异位症的诊断需经标本检查，尽管临床上可能存在怀疑。腹腔镜检查允许盆腔和腹腔检查，阑尾切除术和其他病变的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Progresos en Obstetricia y Ginecologia Medicine-Obstetrics and Gynecology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Revista Oficial de la Sociedad Española de Ginecología y Obstetricia, y está presente en los más prestigiosos índices de referencia en medicina. Sus contenidos, clasificados en función de 4 grandes áreas (reproducción y endocrinología, perinatología, oncología y ginecología general) resultan de máxima utilidad para el especialista.