Giorgakis E, Karydakis V, Farghaly A
Royal London Hospital , Barts and The London NHS Trust, London, UK.
Hippokratia. 2012 Apr;16(2):181-3.
Endometriosis is a common disorder in women of reproductive age. A rare localization is the appendix, which, in most cases, is an incidental finding during appendectomies. The incidence of symptomatic appendiceal endometriosis or endometrial appendicitis might be increased in pregnancy. Moreover, endometrial appendicitis in pregnancy is more likely to present in an advanced stage, given the physiologic changes characterizing the gravid abdomen.
Description of a case of a pregnant woman presenting to the A&E with acute peritonitis attributable to advanced appendicitis. She underwent emergency laparotomy with appendectomy. The biopsy specimen was examined by the pathology laboratory of the same hospital.
The laparotomy revealed perforated appendicitis. The histopathology report described acute endometrial appendicitis.
子宫内膜异位症是育龄期女性的常见疾病。一种罕见的发病部位是阑尾，在大多数情况下，它是阑尾切除术中的偶然发现。妊娠期间，有症状的阑尾子宫内膜异位症或子宫内膜性阑尾炎的发病率可能会增加。此外，鉴于妊娠腹部的生理变化，妊娠期间的子宫内膜性阑尾炎更可能处于晚期。
描述一例因晚期阑尾炎导致急性腹膜炎而就诊于急诊科的孕妇病例。她接受了急诊剖腹阑尾切除术。活检标本由同一家医院的病理实验室检查。
剖腹手术显示阑尾穿孔。组织病理学报告描述为急性子宫内膜性阑尾炎。
