Appendectomy in retrograde order for complete removal of endometriosis

Myong Cheol Lim, Yong Jung Song, Dong Ock Lee, Dae Chul Jung, Chong Woo Yoo, Sang Yoon Park

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Endometriosis frequently involves the intestines. Appendectomy would be often required as part of complete removal of endometriosis. We present a patient with endometriosis who required very difficult appendectomy. For complete removal of endometriosis, hysterectomy, bilateral salpingooophorectomy, low anterior resection and accompanying pelvic peritonectomy were performed through a mid-line incision. Unexpectedly, the appendiceal tip was attached to peri-hepatic tissue with the appendix adhered to the surrounding peritoneum and bowel. Completion of the appendectomy was possible in retrograde order after extension of the surgical incision above the umbilicus. Our findings suggest that preoperative image evaluation for location or position of the appendix might be helpful in patients with suspected endometriosis to offer correct counselling, obtaining adequate consent, determining the optimal surgical approach and scheduling opportune intraoperative consultation by a colorectal surgeon.

Original languageEnglish
Pages (from-to)844-847
Number of pages4
JournalGynecological Endocrinology
Volume25
Issue number12
DOIs
StatePublished - 1 Dec 2009

Fingerprint

Appendectomy
Endometriosis
Appendix
Umbilicus
Peritoneum
Hysterectomy
Intestines
Counseling
Referral and Consultation
Liver

Keywords

  • Appendectomy
  • Endometriosis
  • Low anterior resection

Cite this

Lim, Myong Cheol ; Song, Yong Jung ; Lee, Dong Ock ; Jung, Dae Chul ; Yoo, Chong Woo ; Park, Sang Yoon. / Appendectomy in retrograde order for complete removal of endometriosis. In: Gynecological Endocrinology. 2009 ; Vol. 25, No. 12. pp. 844-847.
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Appendectomy in retrograde order for complete removal of endometriosis. / Lim, Myong Cheol; Song, Yong Jung; Lee, Dong Ock; Jung, Dae Chul; Yoo, Chong Woo; Park, Sang Yoon.

In: Gynecological Endocrinology, Vol. 25, No. 12, 01.12.2009, p. 844-847.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Song, Yong Jung

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AB - Endometriosis frequently involves the intestines. Appendectomy would be often required as part of complete removal of endometriosis. We present a patient with endometriosis who required very difficult appendectomy. For complete removal of endometriosis, hysterectomy, bilateral salpingooophorectomy, low anterior resection and accompanying pelvic peritonectomy were performed through a mid-line incision. Unexpectedly, the appendiceal tip was attached to peri-hepatic tissue with the appendix adhered to the surrounding peritoneum and bowel. Completion of the appendectomy was possible in retrograde order after extension of the surgical incision above the umbilicus. Our findings suggest that preoperative image evaluation for location or position of the appendix might be helpful in patients with suspected endometriosis to offer correct counselling, obtaining adequate consent, determining the optimal surgical approach and scheduling opportune intraoperative consultation by a colorectal surgeon.

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