Appendicular Endometriosis: A case report and review of literature | International Journal of Surgery Case Reports

Abstract Introduction Patients with appendicular endometriosis (AE) constitute Presentation of case In this case report, we present a rare case of appendicular endometriosis in a young woman suffering from pain in right iliac fossa and periumbilical region (on/off) for the past one year. She had a past history of infertility. Blood investigations were normal and CT scan of abdomen demonstrated findings suggestive of appendicitis. Laparoscopic appendicectomy was performed, which revealed 2 cm tumor-like mass (1.5 cm diameter) present at the tip of appendix involving the mesoappendix. There was no ascites, peritoneal or omental deposits or any signs of inflammation. Post-operative recovery was good. Dissected appendix specimen was sent for histopathological examination which confirmed endometriosis of appendix. Discussion Gastrointestinal endometriosis (GE) accounts for 3–37% of all endometriosis cases, whereas AE is present in only ˜ 3% of all GE cases and constitutes Conclusion Thus, appendicular endometriosis is a rare entity and should be included in differential diagnosis in young women presenting with pain in right iliac fossa and having history of infertility.