Catamenial appendicitis

被引：12

作者：

Barrier, Breton F. ^{[1
,2
,3
]}

Frazier, Shellaine R. ^{[1
,2
,3
]}

Brennaman, Lisa M. ^{[1
,2
,3
]}

Taylor, Jessica C. ^{[1
,2
,3
]}

Ramshaw, Bruce J. ^{[1
,2
,3
]}

机构：

[1] Univ Missouri, Coll Vet Med, Dept Obstet Gynecol & Womens Hlth, Columbia, MO USA

[2] Univ Missouri, Coll Vet Med, Dept Anat Pathol, Columbia, MO USA

[3] Univ Missouri, Coll Vet Med, Dept Biomed Sci, Columbia, MO USA

来源：

OBSTETRICS AND GYNECOLOGY | 2008年 / 111卷 / 02期

关键词：

D O I：

10.1097/01.AOG.0000286770.79766.95

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BACKGROUND: Reproductive-aged women undergoing appendectomy for suspected appendicitis have twice the rate of negative histology as age-matched men. The reason for this discrepancy is unknown. CASES: Three patients with peritoneal endometriosis and recurrent symptoms of acute appendicitis coincident with menses underwent resection of a noninflamed appendix with long-term symptom resolution. Standard pathological evaluation failed to demonstrate evidence of appendiceal endometriosis or appendicitis. Additional evaluation demonstrated a marked increase in number of mast cells in the appendiceal muscularis compared with normal appendices. CONCLUSION: The term "catamenial appendicitis" has been coined to describe these cases, and a mechanism of pathogenesis of right lower quadrant pain and nausea in patients with histologically confirmed endometriosis is proposed.

引用

页码：558 / 561

页数：4

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