APANDİSİTİ TAKLİT EDEN İZOLE APENDİKAL ENDOMETRİOZİS OLGUSU

Öz

Endometriozis, endometrial dokunun uterus dışında yerleşmesidir. Çoğunlukla pelviste görülürken, ekstrapelvik bölgeleri de etkileyebildiği bilinmektedir. Gastrointestinal sistem en sık etkilenen ekstrapelvik bölgedir. Nadiren apendiksi tutarak apandisiti taklit edebilir. Yazımızda, 8 aydır periyodik olarak tekrar eden sağ alt kadran ağrısı olan, çocuk doğurma çağındaki bir kadından bahsedilmektedir. Yapılan abdominal ultrasonda, apendiksin ucunda duvar kalınlaşması ve etrafında az miktarda sıvı tespit edilmiş olup distal apandisiti düşündürmüştür. Bilgisayarlı tomografide ise apendiksin ucunda yaklaşık 1 cm'lik nodüler bir kitle tespit edilmiştir. Hastanın tekrar eden şikayetleri ve tespit edilen bulgular doğrultusunda hastaya apendektomi yapılmış ve histopatolojik incelesi apendiks endometriozisi olarak raporlanmıştır. Hasta postoperatif dönemde semptomlarından kurtulmuştur. Bu olgu sunumu, sağ alt kadran ağrısına neden olabilen ve apandisiti taklit edebilen izole apendiks endometriozunu vurgulamaktadır.

Anahtar Kelimeler

• Endometriozis
• Apendikal Endometriozis
• Apandisit
• Sağ Alt Kadran Ağrısı
• Apendektomi

THE CASE OF ISOLATED APPENDICEAL ENDOMETRIOSIS MIMICKING APPENDICITIS

Öz

Endometriosis is the presence of endometrial tissue outside the uterine cavity. It is mostly seen in the pelvis but can also affect the extrapelvic areas of the body. Gastrointestinal (GI) tract is the most frequently affected extrapelvic site and rarely involves the appendix. When it occurs, may mimick appendicitis. We present a childbearing-age woman suffering from right lower quadrant (RLQ) pain. Her complaint was repeating cyclically for 8 months. Abdominal ultrasound (US) disclosed wall thickening at tip of the appendix and small amount of fluid around it, suggesting distal appendicitis. Computed tomography (CT) depicted approximately a 1 cm nodulary mass on tip of the appendix. Then appendectomy was performed and histopathological examination yielded appendiceal endometriosis (AE). She was recovered well and free of her symptom. This report emphasizes the isolated appendiceal endometriosis, which can cause right lower quadrant pain and mimick appendicitis.

Anahtar Kelimeler

• Endometriosis
• Appendiceal Endometriosis
• Appendicitis
• Right Lower Quadrant Pain
• Appendectomy

Kaynakça

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