IP Archives of Cytology and Histopathology Research

Endometriosis of the appendix presenting as acute appendicitis

Full Text PDF

Author Details: Kafil Akhtar, Mohd Talha, Shivani Gupta, Ashok Kumar

Volume : 3

Issue : 1

Online ISSN : 2456-9267

Print ISSN : 2581-5725

Article First Page : 43

Article End Page : 46


Acute appendicitis is a surgical emergency and accounts for 27.5% of the surgical cases. It is a very common cause of non-gynecologic lower abdominal pain and may occur simultaneously with a variety of gynecologic diseases. We report a case of a 24 years old female, who presented to the surgical emergency department with complaints of acute pain in abdomen for the last 1 day with tenderness in right iliac fossa. Laboratory reports showed leucocytosis with neutrophilia, with presence of toxic granules. A provisional diagnosis of appendicitis was made and the patient was operated. The appendectomy specimen on histopathological examination showed ectopic endometrial glands and stroma in the serosa, based on which a diagnosis of appendiceal endometriosis was given. This case emphasizes the importance of considering the diagnosis of appendiceal endometriosis in a young female of child bearing age with a clinical diagnosis of appendicitis.

Keywords: Appendicitis, Endometriosis, Endometrial glands, Stroma.

Doi No:-10.18231/2456-9267.2018.0009