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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.

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/ae8a87c05b6f/cureus-0017-00000085668-i01.jpg

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