Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

Endometriosis is an oestrogen dependent inflammatory disease characterised by presence of endometrial tissue outside the uterine cavity. It affects 15% of female patients in reproductive age. Endometriosis is a very common cause of chronic pelvic pain and subfertility in females. We present a case of a 26-year-old woman with chronic lower abdominal pain on medical management of endometriosis. She presented to us with acute abdominal pain and underwent diagnostic laparoscopy. During surgery, we observed minimal haemoperitoneum with frozen pelvis. The appendix appeared slightly inflamed and an appendicectomy with adhesiolysis was done. The histopathological examination showed endometriosis of appendix. Her postoperative period was uneventful. The patient has been followed up postoperatively and is currently doing well