Abstract

PRIMARY APPENDICULAR ENDOMETRIOSIS: A CASE REPORT

Dr. C. Malak*, Dr. M. Mourabbih and Dr. O. Wajih, Pr. H. Bouffetal, Pr. Mahdaoui S. and Pr. Samouh N.

Abstract

Endometriosis affects 4 to 50% of young women of childbearing age and causes pelvic pain in more than 50% of patients.[1] Defined by the presence of endometrial glands and stroma outside the uterine cavity and uterine musculature.[2] There is no documented case of isolated appendicular endometriosis in the literature. This article aims to describe the case of a woman with primary appendicular endometriosis, revealed by chronic pelvic pain associated with a laterouterine mass. 43-year-old patient, in the process of genital activity, mother of two living children. She consulted for chronic cyclic pelvic pain, which had been evolving for a year, located in the right iliac fossa. Clinical examination showed a slightly tender, right laterouterine mass of approximately 10 cm. Pelvic ultrasound revealed a poorly demarcated solidocystic, hyperechoic, vascularized latero-uterine mass on color Doppler, which measured 100x60 mm, the uterus and ovaries were without abnormality. The CA125 was high. Surgical exploration found an enlarged, reddish appendix with multiple pelvic adhesions. The uterus and appendages were free from macroscopically detectable abnormalities. An appendectomy was performed. The postoperative follow-up was simple. Pathological examination revealed appendicular endometriosis. Clear clinical and ultrasound improvement was noted after the operation. With a 12-month follow-up, no recurrence was noted.

Keywords: Endometriosis, Primary, Appendicular, Casablanca.