Neşe EKİNCİ, Sultan Deniz ALTINDAĞ, Arzu AVCI, Emine Özlem GÜR

Diverticular disease and endometriosis of the vermiform appendix: A unique combination

Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. Appendiceal endometriosis, which is very rare, may have nonspecific presentation such as chronic pelvic pain, but sometimes it can masquerade clinically as acute appendicitis. Also appendiceal diverticulum may be congenital or acquired and is an infrequently encountered lesion. They are often asymptomatic but when diverticulitis or perforation develops, it may clinically mimic acute abdomen of acute suppurative appendicitis. Herein we report a case with a unique combination of appendiceal diverticulosis and endometriosis in a 39-year-old woman that was diagnosed preoperatively as acute appendicitis.

Apendiks vermiformiste divertiküler hastalık ve endometriozis: Özgün bir kombinasyon

Endometriozis, endometriyal bez ve stromanın uterin kavite dışında görülmesi ile karakterlidir. Oldukça nadir görülen apendisyel endometriozis, kronik pelvik ağrı gibi nonspesifik bulgularla seyredebileceği gibi bazen klinik olarak akut apandisiti de taklit edebilir. Apendisyel divertikül konjenital veya edinsel olabilir ve görülme sıklığı nadirdir. Genellikle asemptomatiktir; ancak divertikülit veya perforasyon geliştiğinde, akut süpüratif apandisitin akut batın tablosunu taklit edebilir. Bu çalışmada preoperatif olarak akut apandisit tanısı konulan 39 yaşındaki kadın hastada apendisyel divertikülozis ve endometriozis birlikteliğinin özgün olması nedeni ile olgumuz sunulmuştur.

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