ArticleSultan Qaboos University medical journal2025
Appendicitis with Appendicular Phlegmon Secondary to Endometriosis.
Article in Sultan Qaboos University medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Acute appendicitis is a common surgical emergency, however endometriosis in an appendix is a rare phenomenon. In this case report, we describe a 34-year-old woman who visited a teaching hospital on 2024, presenting with typical clinical features of appendicitis. Initial imaging revealed complicated appendicitis with perforation and an appendicolith; following conservative management, the patient was scheduled for an interval appendectomy which revealed an appendicular mass. A repeat surgery was scheduled, where extensive adhesions were noted, resulting in an open appendectomy. Histopathological examination confirmed appendiceal Endometriosis and a follow-up by a gynaecologist was arranged. Appendiceal Endometriosis is a rare phenomenon with variable clinical presentations, a high index of suspicion is necessary for women of childbearing age due to the risk of complications. The diagnosis of appendiceal Endometriosis is only confirmed via histopathology, and obtaining a Magnetic Resonance Imaging might aid in diagnosis; however, prompt surgical intervention is the standard of care.
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