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  • Endometrial decidualization: a rare cause of acute appendicitis during pregnancy

    Author(s)
    Murphy, Skyle J
    Kaur, Anupinder
    Wullschleger, Martin E
    Griffith University Author(s)
    Murphy, Skyle J.
    Wullschleger, Martin
    Year published
    2016
    Metadata
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    Abstract
    Appendicular endometriosis is a rare and poorly understood pathology that affects women in their reproductive years. In the gravid woman, ectopic endometrial tissue undergoes decidualization. This physiological process can result in acute appendicitis in exceptional cases. Here we describe a patient in her second trimester of pregnancy who presented with right iliac fossa pain and clinical, laboratory and imaging findings consistent with acute appendicitis. A laparoscopic appendectomy was performed with intraoperative findings suspicious for malignancy. Histological analysis made the surprising diagnosis of decidualized ...
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    Appendicular endometriosis is a rare and poorly understood pathology that affects women in their reproductive years. In the gravid woman, ectopic endometrial tissue undergoes decidualization. This physiological process can result in acute appendicitis in exceptional cases. Here we describe a patient in her second trimester of pregnancy who presented with right iliac fossa pain and clinical, laboratory and imaging findings consistent with acute appendicitis. A laparoscopic appendectomy was performed with intraoperative findings suspicious for malignancy. Histological analysis made the surprising diagnosis of decidualized endometriosis causing luminal constriction resulting in acute appendicitis. We also detail the challenging diagnostic and management issues faced by clinicians in such cases.
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    Journal Title
    Journal of Surgical Case Reports
    Volume
    2016
    Issue
    4
    DOI
    https://doi.org/10.1093/jscr/rjw053
    Subject
    Surgery
    Obstetrics and gynaecology
    Science & Technology
    Life Sciences & Biomedicine
    Surgery
    Publication URI
    http://hdl.handle.net/10072/407185
    Collection
    • Journal articles

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