Appendectomy during surgery for ovarian endometrioma: A case report and review of literature

Abstract

Endometriosis is a widespread disease involving multiple pelvic and abdominal organs. Appendiceal endometriosis is considered a rare finding and its prevalence varies from 0.8% to 39%. It can be symptomatic and can mimic appendicitis. That's why surgical treatment of endometriosis requires incidental appendectomy. We present a case of appendicular endometriosis in a young woman with pelvic and abdominal pain for several months. She had no significant pathologic history. Blood tests were normal and pelvic ultrasound showed findings suggestive of bilateral large endometriomas. Diagnostic laparoscopy was performed, which revealed severe stage 4 endometriosis. Therefore, we couldn't perform surgery. The patient was discharged on the second day. She was given medical treatment based on GnRH agonists to reduce the severity of the endometriosis so that she could undergo surgery again under better conditions.