European Journal of Biomedical and Pharmaceutical Sciences

ENDOMETRIOSIS OF APPENDIX – AN INCIDENTAL FINDING

*Dr. Dinesh Kulkarni M.D. (PATH) and Dr. Anjali Vare M.D. (OBGY)

ABSTRACT

Pain in the right in iliac fossa can be a related to organ localized within this quadrant. The most appropriate clinical diagnosis for tenderness in McBurney’s point is acute appendicitis. An uncommon cause for pain in the right iliac fossa is endometriosis of appendix. We document a case of 35 year old lady who presented with menorrhagia and bilateral ovarian cysts with adherent appendix to (Rt) ovary. Histopathological examination of surgically excised specimen confirmed it to be bilateral ovarian endometriosis with endometriosis of appendix. This case highlights difficulty in making preoperative diagnosis in this uncommon entity and importance of specimen sampling and histomorphology of appendix for rendering the right diagnosis. In addition, differential diagnosis of endometriosis of appendix should be considered as one of the rare possibility in women particularly when pain is related to menstrual cycle.

Keywords: Appendix, Endometriosis.