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Preoperative hormonal therapy for a patient with appendiceal endometriosis
- Source :
- BMJ case reports. 14(11)
- Publication Year :
- 2023
-
Abstract
- The optimal management of patients with appendiceal endometriosis has not been determined because of the difficulty of establishing a preoperative diagnosis. There are no reports of preoperative hormone therapy for a patient with appendiceal endometriosis. We report a patient who underwent resection of appendiceal endometriosis after hormone therapy. A 40-year-old woman with history of recurrent pelvic abscesses presented to the emergency department with lower abdominal pain. The recurrent pelvic abscesses were synchronised with her menstrual cycle. CT scan demonstrated a 25 mm contrast-enhanced luminal structure adjacent to the cecum, which was thought to be a mucocele of the appendix. Considering the recurrent symptoms during menstruation, endometriosis was suspected. Treatment with a gonadotropin-releasing hormone agonist was started for appendiceal endometriosis, which alleviated the symptoms. After 3 months, elective laparoscopic appendectomy was performed. Preoperative hormonal therapy is an option for patients with appendiceal endometriosis, especially when there is concern for dense adhesions.
- Subjects :
- Adult
medicine.medical_specialty
media_common.quotation_subject
medicine.medical_treatment
Endometriosis
Mucocele
Appendix
Cecum
medicine
Appendectomy
Humans
Menstrual cycle
media_common
business.industry
General Medicine
Emergency department
medicine.disease
Surgery
Abdominal Pain
medicine.anatomical_structure
Hormonal therapy
Female
Hormone therapy
business
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....19bfb1bb2a1e9eb69980acdd13c01571