Lebastchi Amir H, Prieto Peter A, Chen Charlie, Lui Felix Y
Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
J Surg Case Rep. 2013 Dec 16;2013(12):rjt104. doi: 10.1093/jscr/rjt104.
Endometriosis is a common disease in women of childbearing age and is defined as the presence of endometrial glands and stroma in organs outside of the uterine cavity. Appendiceal endometriosis is very uncommon and accounts for a small fraction of all cases of extrapelvic endometriosis. Cases of that which occur during pregnancy are extremely rare with an incidence that ranges between 3 and 8 deliveries per 10 000. This makes the diagnosis extremely difficult and represents a challenge in the management of the patient. In this report we describe the case of a pregnant woman who underwent ileocecectomy for perforated appendicitis stemming from endometriosis and subsequent pre-term delivery of a 31-week-old fetus.
子宫内膜异位症是育龄期女性的常见疾病，其定义为子宫腔外器官中存在子宫内膜腺体和间质。阑尾子宫内膜异位症非常罕见，在所有盆腔外子宫内膜异位症病例中占比很小。妊娠期间发生的此类病例极为罕见，发病率为每10000例分娩中有3至8例。这使得诊断极为困难，对患者的管理构成挑战。在本报告中，我们描述了一名孕妇的病例，该孕妇因子宫内膜异位症导致的阑尾穿孔性阑尾炎接受了回盲部切除术，随后早产了一名31周大的胎儿。
