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rate of appendiceal endometriosis

Ann Peters, Suketu M Mansuria
PURPOSE OF REVIEW: The risk-benefit ratio of concurrent appendectomy at the time of gynecologic surgery has long been debated and remains controversial. However, emerging data on the appendix's role in chronic pain syndromes point to a previously unrecognized link between gynecologic disorders and appendicular pathology. In this article, we review the indications for appendectomy at the time of laparoscopic gynecologic surgery for the treatment of endometriosis and chronic pelvic pain...
August 2018: Current Opinion in Obstetrics & Gynecology
George Benjamin Collins, Tien Jin Tan, John Gifford, Andrew Tan
The increasing use of computed tomography (CT) in acute appendicitis makes recognising the radiological hallmarks of the condition and its mimics vital. The differential diagnosis includes both appendiceal and nonappendiceal pathologies. The correlation between pre-appendectomy CT and post-appendectomy histopathology was audited retrospectively. Cases of clinico-histopathological discrepancy underwent blind peer-review, and possible improvements were discussed in the context of the medical literature. A grade for discrepancy was given based on the RADPEER scoring system, and interesting or discrepant cases were examined more closely to identify targets for education...
December 2014: Emergency Radiology
Jennifer A Jocko, Hassan Shenassa, Sukhbir S Singh
OBJECTIVE: To review the indications for, and the associated pathology and complications of, appendectomy performed during gynaecologic surgery in a tertiary academic health sciences centre. METHODS: We performed a retrospective review of appendectomy cases performed from September 2007 to December 2011 in a tertiary level gynaecologic surgical practice. Cases were reviewed using a standardized intake sheet with surgical reports, history, and pathologic findings...
January 2013: Journal of Obstetrics and Gynaecology Canada: JOGC
Manju D Chandrasegaram, Lincoln A Rothwell, Ethan I An, Rose J Miller
BACKGROUND: Debate surrounds the management of the macroscopically normal appendix. Current literature recommends its removal given the high incidence of microscopic appendicitis, and other unusual pathologies in the normal-looking appendix. Negative appendicectomies are reported on the decline with increased use of diagnostic radiological adjuncts. METHODS: This study analysed pathologies of the appendix over 10 years in the Pathology Department in Canberra. A positive appendicectomy was defined as acute appendicitis, faecoliths, worms, endometriosis or appendiceal tumours...
November 2012: ANZ Journal of Surgery
Jung Hun Lee, Joong Sub Choi, Seung Wook Jeon, Chang Eop Son, Jong Woon Bae, Jin Hwa Hong, Kyo Won Lee, Yong Seung Lee
OBJECTIVE: We sought to investigate the safety and efficacy of laparoscopic incidental appendectomy during laparoscopic surgery for endometrioma. STUDY DESIGN: We conducted a retrospective study of 356 patients undergoing laparoscopic surgery for endometrioma with appendectomy (appendectomy group, n = 172) or not (nonappendectomy group, n = 184). Primary outcome measures were operating time, hemoglobin change, hospital stay, return of bowel activity, and any complications...
January 2011: American Journal of Obstetrics and Gynecology
Breton F Barrier, Shellaine R Frazier, Lisa M Brennaman, Jessica C Taylor, Bruce J Ramshaw
BACKGROUND: Reproductive-aged women undergoing appendectomy for suspected appendicitis have twice the rate of negative histology as age-matched men. The reason for this discrepancy is unknown. CASES: Three patients with peritoneal endometriosis and recurrent symptoms of acute appendicitis coincident with menses underwent resection of a noninflamed appendix with long-term symptom resolution. Standard pathological evaluation failed to demonstrate evidence of appendiceal endometriosis or appendicitis...
February 2008: Obstetrics and Gynecology
Robert L Gustofson, Nancy Kim, Shannon Liu, Pamela Stratton
OBJECTIVE: To report the prevalence of appendiceal disease in women with chronic pelvic pain undergoing laparoscopy for possible endometriosis, summarize the literature, and more accurately estimate the prevalence of endometriosis of the appendix. DESIGN: Prospective case series and literature review. SETTING: Academic research institute. PATIENT(S): One hundred thirty-three patients with chronic pelvic pain and possible endometriosis undergoing laparoscopy...
August 2006: Fertility and Sterility
M AlSalilli, G A Vilos
STUDY OBJECTIVE: To evaluate the feasibility, safety, histology, and outcome after appendectomy in women undergoing operative laparoscopy for chronic right lower quadrant pelvic pain. DESIGN: Prospective evaluation since January 1992. SETTING: University-affiliated teaching hospital. PATIENTS: Three hundred eighty and 103 patients who underwent operative laparoscopy for chronic pelvic pain and right lower quadrant pain, respectively, over a period of 2 years...
February 1995: Journal of the American Association of Gynecologic Laparoscopists
W J Mann, F Fromowitz, T Saychek, J R Madariaga, E Chalas
While endometriosis is a commonly encountered surgical problem, involvement of the gastrointestinal tract is infrequent and appendiceal involvement rate. Intussusception of the appendix is more frequent. Accordingly, the concurrence of appendiceal endometriosis and intussusception is remarkable. We treated two such patients. The clinical presentation of these patients is varied, with most having abdominal pain, nausea and diarrhea. Asymptomatic cases may be found at surgery for unrelated problems. Correct diagnosis preoperatively is uncommon and most likely when the patients also have a palpable mass...
August 1984: Journal of Reproductive Medicine
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