Abstract

Acute appendicitis is a common surgical emergency, however endometriosis in an appendix is a rare phenomenon. In this case report, we describe a 34-year-old woman who visited a teaching hospital on 2024, presenting with typical clinical features of appendicitis. Initial imaging revealed complicated appendicitis with perforation and an appendicolith; following conservative management, the patient was scheduled for an interval appendectomy which revealed an appendicular mass. A repeat surgery was scheduled, where extensive adhesions were noted, resulting in an open appendectomy. Histopathological examination confirmed appendiceal Endometriosis and a follow-up by a gynaecologist was arranged. Appendiceal Endometriosis is a rare phenomenon with variable clinical presentations, a high index of suspicion is necessary for women of childbearing age due to the risk of complications. The diagnosis of appendiceal Endometriosis is only confirmed via histopathology, and obtaining a Magnetic Resonance Imaging might aid in diagnosis; however, prompt surgical intervention is the standard of care.

Publication details

DOI
10.18295/2075-0528.2911
Journal
Sultan Qaboos University Medical Journal, 25(1), 859-863
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

Al Balushi, R., Al Hinai, M., Al Maawali, S., Al Qari, A., & Al Khaboori, S. (2025). Appendicitis with Appendicular Phlegmon Secondary to Endometriosis. Sultan Qaboos University Medical Journal, 25(1), 859-863. https://doi.org/10.18295/2075-0528.2911

MLA 9

Al Balushi, Rawan, et al. "Appendicitis with Appendicular Phlegmon Secondary to Endometriosis." Sultan Qaboos University Medical Journal, vol. 25, no. 1, 2025, pp. 859-863. https://doi.org/10.18295/2075-0528.2911.

Chicago (author–date)

Al Balushi, Rawan, Maiyan Al Hinai, Shihab Al Maawali, Abdullah Al Qari, and Sadiq Al Khaboori. 2025. "Appendicitis with Appendicular Phlegmon Secondary to Endometriosis." Sultan Qaboos University Medical Journal 25 (1): 859-863. https://doi.org/10.18295/2075-0528.2911.

Harvard

Al Balushi, R., Al Hinai, M., Al Maawali, S., Al Qari, A. and Al Khaboori, S. (2025) 'Appendicitis with Appendicular Phlegmon Secondary to Endometriosis', Sultan Qaboos University Medical Journal, 25(1), pp. 859-863. doi:10.18295/2075-0528.2911.

Vancouver

Al Balushi R, Al Hinai M, Al Maawali S, Al Qari A, Al Khaboori S. Appendicitis with Appendicular Phlegmon Secondary to Endometriosis. Sultan Qaboos University Medical Journal. 2025;25(1):859-863. doi:10.18295/2075-0528.2911

IEEE

R. Al Balushi, M. Al Hinai, S. Al Maawali, A. Al Qari, and S. Al Khaboori, "Appendicitis with Appendicular Phlegmon Secondary to Endometriosis," Sultan Qaboos University Medical Journal, vol. 25, no. 1, pp. 859-863, 2025, doi: 10.18295/2075-0528.2911.