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Appendiceal Endometriosis and Ectopic Pregnancy Occurring Simultaneously

Chemerinski, Anat, MD; Lubin, Daniel, MD; Holder, Sevelle, MD; Shah, Divya, MD, MME

doi: 10.1097/AOG.0000000000002472
Contents: Case Report

BACKGROUND: In the setting of a known ectopic pregnancy, severe abdominal pain with clinical concern for rupture is an indication for emergency surgery. In rare cases, appendiceal pathology may occur simultaneously.

CASE: A woman with a known ectopic pregnancy presented to the emergency department with a clinical picture consistent with its rupture. At the time of surgery, an appendectomy also was performed owing to concern for concurrent appendicitis; histopathologic examination revealed appendiceal endometriosis.

CONCLUSION: During surgical management of ectopic pregnancy, it is important to undertake a thorough examination of the pelvis, because patients may present with multiple concurrent pathologies. In the setting of an emergency operation, when the diagnosis seems clear, this survey should not be forgotten.

During surgical management of ectopic pregnancy, it is important to undertake a thorough examination of the pelvis, because patients may present with multiple concurrent pathologies.

Departments of Obstetrics and Gynecology and Pathology and the Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Corresponding author: Anat Chemerinski, MD, 3400 Spruce Street, Philadelphia, PA 19104; email: anat.chemerinski@uphs.upenn.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

Each author has indicated that he or she has met the journal's requirements for authorship.

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.