Acute appendicitis and endometriosis: Retrospective analysis in emergency setting

Gaspare Gulotta, Giorgio Romano, Antonino Agrusa, Gaspare Cucinella, Giuseppe Di Buono, Daniela Chianetta, Giuseppe Frazzetta, Valentina Billone, Vincenzo Sorce

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Abstract

Introduction. The aim of this study is to evaluate the incidence of appendiceal and pelvic endometriosis in a population with diagnosis of acute appendicitis in an emergency setting. Materials and methods. We carried out a retrospective study in the period between January 2010 and October 2013. We performed 429 appendectomy including 233 in female subjects (54.3%). In all patients of childbearing age, we did β-hCG urine test to rule out the presence of an extra-uterine pregnancy. Results. 127 of 233 patients received a laparoscopic approach (54.5%). The median age was 29 years-old (range 17-68). The diagnosis of appendiceal and/or pelvic endometriosis was performed in 10 patients (4.3%): 9 treated in laparoscopy and only 1 treated in open. In only one case was required conversion to open surgery. We diagnosed appendiceal endometriosis in 3 patients, pelvic endometriosis with consensual acute appendicitis in 5 cases, pelvic endometriosis in the absence of macroscopic changes of the appendix in one case, sigmoid endometriosis in one case. There were no intraoperative complications, wound's complications or intra-abdominal abscesses. Conclusions. In general female population with clinical, laboratoristic and instrumental diagnosis of acute appendicitis and without anamnestic suspicion of gynecological pathology, it is always good to consider the hypothesis of pelvic and/or appendiceal endometriosis. The laparoscopic approach should be considered the treatment of choice for these patients in an emergency setting.
Original languageEnglish
Pages (from-to)728-732
Number of pages5
JournalGiornale Italiano di Ostetricia e Ginecologia
Volume35
Publication statusPublished - 2013

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Appendicitis
Endometriosis
Emergencies
Conversion to Open Surgery
Abdominal Abscess
Appendectomy
Intraoperative Complications
Appendix
Sigmoid Colon
Laparoscopy
Population
Retrospective Studies
Urine
Pathology
Pregnancy
Incidence
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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Acute appendicitis and endometriosis: Retrospective analysis in emergency setting. / Gulotta, Gaspare; Romano, Giorgio; Agrusa, Antonino; Cucinella, Gaspare; Di Buono, Giuseppe; Chianetta, Daniela; Frazzetta, Giuseppe; Billone, Valentina; Sorce, Vincenzo.

In: Giornale Italiano di Ostetricia e Ginecologia, Vol. 35, 2013, p. 728-732.

Research output: Contribution to journalArticle

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abstract = "Introduction. The aim of this study is to evaluate the incidence of appendiceal and pelvic endometriosis in a population with diagnosis of acute appendicitis in an emergency setting. Materials and methods. We carried out a retrospective study in the period between January 2010 and October 2013. We performed 429 appendectomy including 233 in female subjects (54.3{\%}). In all patients of childbearing age, we did β-hCG urine test to rule out the presence of an extra-uterine pregnancy. Results. 127 of 233 patients received a laparoscopic approach (54.5{\%}). The median age was 29 years-old (range 17-68). The diagnosis of appendiceal and/or pelvic endometriosis was performed in 10 patients (4.3{\%}): 9 treated in laparoscopy and only 1 treated in open. In only one case was required conversion to open surgery. We diagnosed appendiceal endometriosis in 3 patients, pelvic endometriosis with consensual acute appendicitis in 5 cases, pelvic endometriosis in the absence of macroscopic changes of the appendix in one case, sigmoid endometriosis in one case. There were no intraoperative complications, wound's complications or intra-abdominal abscesses. Conclusions. In general female population with clinical, laboratoristic and instrumental diagnosis of acute appendicitis and without anamnestic suspicion of gynecological pathology, it is always good to consider the hypothesis of pelvic and/or appendiceal endometriosis. The laparoscopic approach should be considered the treatment of choice for these patients in an emergency setting.",
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T1 - Acute appendicitis and endometriosis: Retrospective analysis in emergency setting

AU - Gulotta, Gaspare

AU - Romano, Giorgio

AU - Agrusa, Antonino

AU - Cucinella, Gaspare

AU - Di Buono, Giuseppe

AU - Chianetta, Daniela

AU - Frazzetta, Giuseppe

AU - Billone, Valentina

AU - Sorce, Vincenzo

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N2 - Introduction. The aim of this study is to evaluate the incidence of appendiceal and pelvic endometriosis in a population with diagnosis of acute appendicitis in an emergency setting. Materials and methods. We carried out a retrospective study in the period between January 2010 and October 2013. We performed 429 appendectomy including 233 in female subjects (54.3%). In all patients of childbearing age, we did β-hCG urine test to rule out the presence of an extra-uterine pregnancy. Results. 127 of 233 patients received a laparoscopic approach (54.5%). The median age was 29 years-old (range 17-68). The diagnosis of appendiceal and/or pelvic endometriosis was performed in 10 patients (4.3%): 9 treated in laparoscopy and only 1 treated in open. In only one case was required conversion to open surgery. We diagnosed appendiceal endometriosis in 3 patients, pelvic endometriosis with consensual acute appendicitis in 5 cases, pelvic endometriosis in the absence of macroscopic changes of the appendix in one case, sigmoid endometriosis in one case. There were no intraoperative complications, wound's complications or intra-abdominal abscesses. Conclusions. In general female population with clinical, laboratoristic and instrumental diagnosis of acute appendicitis and without anamnestic suspicion of gynecological pathology, it is always good to consider the hypothesis of pelvic and/or appendiceal endometriosis. The laparoscopic approach should be considered the treatment of choice for these patients in an emergency setting.

AB - Introduction. The aim of this study is to evaluate the incidence of appendiceal and pelvic endometriosis in a population with diagnosis of acute appendicitis in an emergency setting. Materials and methods. We carried out a retrospective study in the period between January 2010 and October 2013. We performed 429 appendectomy including 233 in female subjects (54.3%). In all patients of childbearing age, we did β-hCG urine test to rule out the presence of an extra-uterine pregnancy. Results. 127 of 233 patients received a laparoscopic approach (54.5%). The median age was 29 years-old (range 17-68). The diagnosis of appendiceal and/or pelvic endometriosis was performed in 10 patients (4.3%): 9 treated in laparoscopy and only 1 treated in open. In only one case was required conversion to open surgery. We diagnosed appendiceal endometriosis in 3 patients, pelvic endometriosis with consensual acute appendicitis in 5 cases, pelvic endometriosis in the absence of macroscopic changes of the appendix in one case, sigmoid endometriosis in one case. There were no intraoperative complications, wound's complications or intra-abdominal abscesses. Conclusions. In general female population with clinical, laboratoristic and instrumental diagnosis of acute appendicitis and without anamnestic suspicion of gynecological pathology, it is always good to consider the hypothesis of pelvic and/or appendiceal endometriosis. The laparoscopic approach should be considered the treatment of choice for these patients in an emergency setting.

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