ArticleJournal of surgical case reports2026
Perforated appendicitis secondary to a ruptured pyosalpinx managed by laparoscopic appendectomy and salpingectomy: a case report.
Article in Journal of surgical case reports, 2026. 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
Pyosalpinx, the accumulation of pus within the fallopian tube, rarely causes acute appendicitis. We report a 38-year-old woman who presented with a 10-day history of right lower quadrant pain and low-grade fever and was diagnosed radiologically with a perforated appendix. At laparoscopy, intraperitoneal pus, an appendix perforated at its tip, and a perforated right fallopian tube near the utero-tubal junction were found. Laparoscopic appendectomy with right salpingectomy was performed. Histopathology confirmed acute appendicitis and acute salpingitis; cultures showed no growth and GeneXpert was negative. She recovered uneventfully over six months of follow-up. To our knowledge, this is the first documented perforated appendix caused by ascending infection from a perforated pyosalpinx managed laparoscopically. The case highlights the importance of considering gynaecological pathology in atypical appendicitis and the value of a laparoscopic, interdisciplinary approach.
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