Caecal endometriosis mimicking acute appendicitis. Case report. AKUT APANDİSİTİ TAKLİT EDEN ÇEKAL ENDOMETRİOZİS OLGUSU.

Presence of endometrial glands and stroma outside the intrauterine cavity is defined as endometriosis. It’s a benign disease which is common in childbearing women. Clinical presentation of intestinal endometriosis is usually asymptomatic. However, it may present with symptoms such as intestinal bleeding, nausea, vomiting, abdominal pain and cramp, painful defecation, diarrhea, constipation and recto-vaginal mass. It may also present with complications such as intussusception, intestinal obstruction and intestinal perforation. In generally, the most common cause of surgery for patients admitted to the emergency department because of right lower quadrant pain is acute appendicitis. Caecal and appendicular localization of endometriosis is a rare condition. Preoperative diagnosis is difficult, but it should be considered in women of childbearing age in the differential diagnosis not dependent on radiological imaging. We aimed to present a 22-year-old female patient with caecal endometriosis mimicking acute appendicitis prior asymptomatic in this case report. Ozet Rahim ici boslugun disinda endometrial bezlerin ve stromanin varligi endometriozis olarak tanimlanir. Dogurganlik cagindaki kadinlarda yaygin olarak gorulen benign bir hastaliktir. Intestinal endometriozisin klinik prezentasyonu  genellikle asemptomatiktir. Ancak intestinal kanama, bulanti, kusma, kramp tarzi karin agrisi, agrili defekasyon, ishal, kabizlik, rekto-vajinal kitle gibi semptomlar; intussepsiyon, bagirsak obstruksiyonu ve intestinal perforasyon gibi komplikasyonlarla da prezente olabilir. Genel olarak sag alt kadran agrisi nedeniyle acil servise basvuran ve akut abdomen saptanan hastalara yonelik cerrahi girisimlerin en sik nedeni akut apandisittir. Cekal ve apendiks lokalizasyonlu endometriozis nadir gorulen bir durumdur. Preoperatif tanisi zordur ancak akut apandisit semptomlari gosteren dogurganlik cagindaki kadinlarda, goruntuleme yontemlerine bagli kalmadan, ayrici tanida goz onunde bulundurulmasi gerekir. Bu olgumuzda dogurganlik caginda olan ve daha oncesinde asemptomatik olan, akut apandisiti taklit ederek prezentasyon gosteren ve cerrahi sirasinda cekal endometriozis saptanan 22 yasinda bir kadin hastayi sunmayi amacladik.