Sekonder Mukosel İle Birlikte Apendiks Endometriozisi: Olgu Sunumu

Öz

Apendikste endometriozis, endometriozisli kadınların %2.8' ini ve genel popülasyonun %1' den azını etkileyen bir durumdur. Klinik olarak akut apandisiti taklit edebilir, ancak genellikle spesifik olmayan bir prezentasyona sahiptir. Apendikste mukoselin nadir bir nedenidir. Olgumuz, 45 yaşındaki kadın hasta, göğüs ağrısı ve karın alt kısmında ağrı nedeniyle hastaneye başvurdu. Akut apandisit tanısı ile laparoskopik apendektomi yapıldı. Apendiks distalinde 0.9 cm çapında mukosel izlendi. Apendiksin proksimal kısmında, hipertrofik kas tabakasında endometrial gland ve stromayı içeren endometriozis odakları vardı. Tanımlanan bulgularla olguya apendiksde endometriozis ve endometriozise bağlı apendiks obstrüksiyonuna sekonder mukosel tanısı verildi. Bu vaka nadir görülmesi nedeniyle, ilgili literatür taraması eşliğinde sunulmuştur.

Anahtar Kelimeler

• Apendiks
• endometriozis
• mukosel
• obstrüksiyon

Endometriosis Of The Appendix With Secondary Mucocele: A Case Report

Öz

Endometriosis of the appendix is a rare condition that affects 2.8% of women with endometriosis and <1% of general population. Appendiceal endometriosis can mimic acute appendicitis but usually it has a nonspecific presentation. It is one of the rare causes of appendiceal mucocele. Our case, a 45-year-old woman, presented to the hospital with chest pain and lower abdominal pain. She underwent appendectomy with a clinical diagnosis of acute appendicitis. A mucocele of 0.9 cm diameter in the distal portion of the appendix was observed. In the proximal portion of the appendix, there were foci of endometriosis containing endometrial glands and stroma within the hypertrophic muscular layer. Our findings led us to the diagnosis of appendiceal endometriosis and mucocele of the appendix secondary to obstruction of the appendix due to endometriosis. This case is presented with a review of the relevant literature due to its rarity.

Anahtar Kelimeler

• Appendix
• endometriosis
• mucocele
• obstruction

Kaynakça

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