Case reports

Endometriosis of the meso-appendix mimicking appendicitis: A case report

Suman Mewa Kinoo, Vikesh Vikrampersad Ramkelawon, Bhugwan Singh

Abstract


Although appendicitis is largely a clinical diagnosis, on occasions diagnostic modalities may be needed to aid with the diagnosis. Despite the use of adjuncts and exploratory surgery, the diagnosis may not be clear until a histological diagnosis is achieved. Endometriosis of the appendix mimicking appendicitis is one of these diagnoses described in several case reports. Endometriosis of the meso-appendix has been described in association with intussusception of the appendix in several case reports. However, to our knowledge, endometriosis of the meso-appendix mimicking appendicitis has not been reported to date. We present the case of a 33-year-old woman with classic clinical signs and symptoms of appendicitis endorsed on computed tomography imaging. The patient underwent a laparoscopic appendicectomy with the postoperative histology demonstrating a normal appendix with endometriosis of the meso-appendix.


Authors' affiliations

Suman Mewa Kinoo, Department of General Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Vikesh Vikrampersad Ramkelawon, Ethekwini Hospital and Heart Centre, Durban, South Africa

Bhugwan Singh, Department of General Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

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Cite this article

South African Journal of Obstetrics and Gynaecology 2016;22(1):33. DOI:10.7196/sajog.995

Article History

Date submitted: 2015-03-31
Date published: 2016-09-08

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