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Deciduosis of the Appendix During Pregnancy

Acute appendicitis is an important differential diagnosis in patients with right lower quadrant pain during pregnancy. Endometriosis, a hormone-related pathology, is another possibility. Patients with endometriosis are typically symptomatic before pregnancy. Stromal endometriosis is a variant of end...

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Autores principales: Tsunemitsu, Ayako, Tsutsumi, Takahiko, Ikura, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8188025/
https://www.ncbi.nlm.nih.gov/pubmed/33361675
http://dx.doi.org/10.2169/internalmedicine.5960-20
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author Tsunemitsu, Ayako
Tsutsumi, Takahiko
Ikura, Yoshihiro
author_facet Tsunemitsu, Ayako
Tsutsumi, Takahiko
Ikura, Yoshihiro
author_sort Tsunemitsu, Ayako
collection PubMed
description Acute appendicitis is an important differential diagnosis in patients with right lower quadrant pain during pregnancy. Endometriosis, a hormone-related pathology, is another possibility. Patients with endometriosis are typically symptomatic before pregnancy. Stromal endometriosis is a variant of endometriosis that presents no symptoms before pregnancy but which occasionally presents with the new onset of symptoms during pregnancy. We report the case of a 35-year-old woman in her 8th month of pregnancy who presented with impending appendiceal rupture due to deciduosis of the appendix, a progesterone-related condition, during pregnancy. This case suggests that deciduosis/stromal endometriosis should be considered as a differential diagnosis of acute abdomen during pregnancy, even if the patient is asymptomatic before pregnancy.
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spelling pubmed-81880252021-06-16 Deciduosis of the Appendix During Pregnancy Tsunemitsu, Ayako Tsutsumi, Takahiko Ikura, Yoshihiro Intern Med Case Report Acute appendicitis is an important differential diagnosis in patients with right lower quadrant pain during pregnancy. Endometriosis, a hormone-related pathology, is another possibility. Patients with endometriosis are typically symptomatic before pregnancy. Stromal endometriosis is a variant of endometriosis that presents no symptoms before pregnancy but which occasionally presents with the new onset of symptoms during pregnancy. We report the case of a 35-year-old woman in her 8th month of pregnancy who presented with impending appendiceal rupture due to deciduosis of the appendix, a progesterone-related condition, during pregnancy. This case suggests that deciduosis/stromal endometriosis should be considered as a differential diagnosis of acute abdomen during pregnancy, even if the patient is asymptomatic before pregnancy. The Japanese Society of Internal Medicine 2020-12-22 2021-05-15 /pmc/articles/PMC8188025/ /pubmed/33361675 http://dx.doi.org/10.2169/internalmedicine.5960-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tsunemitsu, Ayako
Tsutsumi, Takahiko
Ikura, Yoshihiro
Deciduosis of the Appendix During Pregnancy
title Deciduosis of the Appendix During Pregnancy
title_full Deciduosis of the Appendix During Pregnancy
title_fullStr Deciduosis of the Appendix During Pregnancy
title_full_unstemmed Deciduosis of the Appendix During Pregnancy
title_short Deciduosis of the Appendix During Pregnancy
title_sort deciduosis of the appendix during pregnancy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8188025/
https://www.ncbi.nlm.nih.gov/pubmed/33361675
http://dx.doi.org/10.2169/internalmedicine.5960-20
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