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Appendiceal endometriosis is a very rare and usually asymptomatic condiction, but can result in severe complications such as intestinal perforation, massive gastrointestinal bleeding or intussusception. We report a case of endometriosis of the appendix presenting as acute appendicitis. The patient was a 36 year old nulliparouswomanwhowas scheduled formyomectomy for 20 weeks sized uterine firbroids. She however developed a right ovarian chocolate cyst, pelvic endometrial deposits and multiple uterine fibroids. Myomectomy and right ovarian cystectomywas done in addition to appendectomy. Histological examination revealed endometrial depositswithin an oedematous wall of the appendix and a diagnosis of endometroisis of the appendix causing acute appendicitis was made.We considered the relevant literature on appendiceal endometroisis and its association with endometrioma. We recommend routine evaluation of the appendix during pelvic surgery especially surgery for endometriosis.
Keywords: Appendiceal endometroisis