| 篇名 |
Endometriosis Involving the Appendix Mimicking Acute Appendicitis and Appendiceal Tumor: Report of a Case |
| 作者 |
Jyh-Haun Wang, Yi-Hsiu Huang, Tung-Jung Liang, Chun-Hui Fang, Sze-Yuan Chou |
| 卷期/出版年月 |
41卷6期 (2008/12) |
| 頁次 |
287-291 |
| 摘要 |
Endometriosis of the appendix is infrequent, and even rarer when it presents as
appendiceal tumor. A case of endometriosis of the appendix that manifested as acute
appendicitis and appendiceal tumor in a 44-year-old female patient is reported here.
The woman visited the emergency room due to lower abdominal pain and high fever
for 2 days. At ER, physical examination showed severe tenderness and rebounding
pain at the McBurney’s point. Abdominal computed tomography (CT) and
Abdominal ultrasound suggested appendicitis with rupture. Therefore, she was
immediately operated upon under the suspicion of acute appendicitis with rupture.
Intra-operatively, an apparent appendiceal tip tumor with several enlarged
mesentery lymph nodes was found. As appendiceal cancer with lymph node
metastasis was highly suspected, a right hemicolectomy was performed. Later
histological examinations showed endometriosis of the appendix and ileum, along
with periappendiceal abscess. Post-operatively, the patient recovered with no
residual pain. |
| 關鍵詞 |
acute appendicitis, appendiceal tumor, endometriosis |
| 分類 |
Case Report |
