Catamenial appendicitis.
Obstet Gynecol
; 111(2 Pt 2): 558-61, 2008 Feb.
Article
em En
| MEDLINE
| ID: mdl-18239022
ABSTRACT
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. Additional evaluation demonstrated a marked increase in number of mast cells in the appendiceal muscularis compared with normal appendices.CONCLUSION:
The term "catamenial appendicitis" has been coined to describe these cases, and a mechanism of pathogenesis of right lower quadrant pain and nausea in patients with histologically confirmed endometriosis is proposed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apêndice
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Doenças Peritoneais
/
Dor Abdominal
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Endometriose
Limite:
Adolescent
/
Adult
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Female
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Humans
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article