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一名50岁女性因子宫内膜异位症导致的穿孔性阑尾炎:病例报告

Appendicitis Perforated by Endometriosis in a 50-Year-Old Woman: A Case Report.

作者信息

Alsayed Omar, Jayakumar Joanna E, Alzoabi Osama, Alabboudi Yousif

机构信息

Department of General Surgery, Dubai Academic Health Corporation, Dubai, ARE.

Department of Surgery, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, ARE.

出版信息

Cureus. 2025 Jun 9;17(6):e85668. doi: 10.7759/cureus.85668. eCollection 2025 Jun.

DOI:10.7759/cureus.85668
PMID:40642732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12242879/
Abstract

People often experience pain in the lower right side of the abdomen due to appendicitis, which is a frequent issue for both men and women. Every year, numerous appendectomies are performed in the United States. Another condition that affects many women is endometriosis, where tissue similar to the uterine lining appears in other parts of the body, such as the ovaries, fallopian tubes, or abdominal area. In rare situations, it might even be found in the chest. We report a case of a 50-year-old woman presenting with acute right lower quadrant pain, diagnosed with complicated appendicitis. Laparoscopic appendectomy was performed, and histopathology revealed appendiceal endometriosis at the site of perforation. Appendiceal endometriosis remains a rare and often unsuspected cause of appendicitis, posing diagnostic and surgical challenges.

摘要

由于阑尾炎,人们经常会感到右下腹部疼痛,这对男性和女性来说都是常见问题。在美国,每年都要进行大量的阑尾切除术。另一种影响许多女性的疾病是子宫内膜异位症,即类似子宫内膜的组织出现在身体的其他部位,如卵巢、输卵管或腹部区域。在极少数情况下,甚至可能出现在胸部。我们报告一例50岁女性,表现为急性右下腹疼痛,诊断为复杂性阑尾炎。进行了腹腔镜阑尾切除术,组织病理学显示穿孔部位存在阑尾子宫内膜异位症。阑尾子宫内膜异位症仍然是阑尾炎的一种罕见且常常未被怀疑的病因,带来了诊断和手术方面的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/0e1fe0512801/cureus-0017-00000085668-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/ae8a87c05b6f/cureus-0017-00000085668-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/cd6d75b08439/cureus-0017-00000085668-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/0e1fe0512801/cureus-0017-00000085668-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/ae8a87c05b6f/cureus-0017-00000085668-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/cd6d75b08439/cureus-0017-00000085668-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5b9/12242879/0e1fe0512801/cureus-0017-00000085668-i03.jpg

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本文引用的文献

1
Postoperative Complications of Appendectomy in Gynecologic Laparoscopic Surgery for Benign Indications.妇科腹腔镜手术治疗良性疾病时阑尾切除术的术后并发症
Obstet Gynecol. 2023 Feb 1;141(2):354-360. doi: 10.1097/AOG.0000000000005033. Epub 2023 Jan 4.
2
Ectopic endometriosis, menstruation, and acute appendicitis: A thought-provoking case.异位子宫内膜异位症、月经与急性阑尾炎:一则引人深思的病例
Int J Surg Case Rep. 2021 Mar;80:105605. doi: 10.1016/j.ijscr.2021.01.099. Epub 2021 Feb 1.
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Laparoscopic surgery for endometriosis.子宫内膜异位症的腹腔镜手术
Cochrane Database Syst Rev. 2020 Oct 23;10(10):CD011031. doi: 10.1002/14651858.CD011031.pub3.
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A rare case of right lower quadrant pain.一例罕见的右下腹疼痛病例。
BJR Case Rep. 2018 Oct 31;5(2):20170024. doi: 10.1259/bjrcr.20170024. eCollection 2019 Jun.
5
Appendiceal endometriosis invading the sigmoid colon: a rare entity.阑尾子宫内膜异位症侵犯乙状结肠:一种罕见的病变。
Int J Colorectal Dis. 2019 Jun;34(6):1147-1150. doi: 10.1007/s00384-019-03242-0. Epub 2019 Jan 21.
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Acute Appendicitis: Efficient Diagnosis and Management.急性阑尾炎:有效诊断与管理。
Am Fam Physician. 2018 Jul 1;98(1):25-33.
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The role of appendectomy at the time of laparoscopic surgery for benign gynecologic conditions.腹腔镜手术治疗良性妇科疾病时阑尾切除术的作用。
Curr Opin Obstet Gynecol. 2018 Aug;30(4):237-242. doi: 10.1097/GCO.0000000000000466.
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Endometriosis: Epidemiology, Diagnosis and Clinical Management.子宫内膜异位症:流行病学、诊断与临床管理
Curr Obstet Gynecol Rep. 2017 Mar;6(1):34-41. doi: 10.1007/s13669-017-0187-1. Epub 2017 Jan 27.
9
Endometriosis of the appendix presenting as acute appendicitis: a case report and literature review.表现为急性阑尾炎的阑尾子宫内膜异位症:一例病例报告及文献综述
Ethiop J Health Sci. 2013 Mar;23(1):69-72.
10
Beyond the boundaries-endometriosis: typical and atypical locations.超越边界——子宫内膜异位症:典型与非典型部位
Curr Probl Diagn Radiol. 2011 Nov-Dec;40(6):219-32. doi: 10.1067/j.cpradiol.2011.01.003.