Deciduosis of the appendix: a case report
DOI:
https://doi.org/10.33448/rsd-v11i15.37114Keywords:
Appendix; Deciduosis; Pregnancy.Abstract
Introduction: Ectopic deciduosis refers to decidual tissue outside the uterus. Ectopic decidua appears on the surface of the female reproductive organs and peritoneum; however, rare cases can be found in the appendix, lymph nodes, lungs, kidneys, and skin. Deciduosis is a benign condition that usually does not cause any symptoms and resolves spontaneously 4-6 weeks after delivery. However, an ectopic decidua involving the appendix wall often causes appendicitis and presents with acute abdominal signs. Methodology: The descriptive study of the case report type and the data obtained from the patient's medical record. Case presentation: This paper reports a woman aged 29 years with complaints of abdominal pain, like being stabbed in the pit of the stomach and then to the lower right abdomen for two days. A physical examination revealed tenderness in the lower abdomen with a positive McBurney sign. At that time, the patient was pregnant with a gestational age of 20-21 weeks. The patient underwent an appendectomy with the tissue sent to the anatomic pathology laboratory with the presence of decidual cells in the subserous layer and serous fat, and it was concluded as deciduosis of the appendix. Conclusion: Based on clinical and laboratory findings, the patient was diagnosed with deciduosis of the appendix.
References
Adhikari, L. J., & Shen, R. (2013). Florid diffuse peritoneal deciduosis mimicking carcinomatosis in a primigravida patient: a case report and review of the literature. Int J Clin Exp Pathol, 6(11), 2615–2619. www.ijcep.com/
Akcay, E., Gormez, M., Arici, A., & Koseoglu, R. D. (2020). Ectopic omental deciduosis associated with pregnancy. Medicine Science, 9(4), 1093–1096. https://doi.org/10.5455/medscience.2020.10.205
Balta, A., Lubgane, M., Orube, I., Ziemele, G., Vanags, A., Gardovskis, J., & Strumfa, I. (2014). Deciduosis of the Appendix Manifesting as Acute Abdomen in Pregnancy. Acta Chirurgica Latviensis, 14(1), 43–45. https://doi.org/10.2478/chilat-2014-0110
Chai, D., & Wijesuriya, R. (2016). Deciduosis of the appendix: Diagnostic dilemma continues despite MRI evidence. Annals of the Royal College of Surgeons of England, 98, e200–e202. https://doi.org/10.1308/rcsann.2016.0242
Daya, D., Cheung, A. N. Y., Khunamornpong, S., Kim, K.-R., Prat, J., & Young, R. H. (2014). Miscellaneous primary tumours. In R. J. Kurman, M. L. Carcangiu, C. S. Herrington, & R. H. Young (Eds.), WHO Classification of Tumours of Female Reproductive Organs (4th ed., Vol. 6, p. 100). World Health Organization.
Ghannouchi, M., Nacef, K., KHlifa, M. ben, Iyed, K., Boudokhan, M., Toumi, D., & Zoukar, O. (2021). Acute abdomen during pregnancy: appendicular deciduosis—a case report. Journal of Surgical Case Reports, 2021(10), 1–3. https://doi.org/10.1093/jscr/rjab477
Jadhav, T., & Doshetty, R. (2022). Deciduosis in a cesarean scar. Autopsy and Case Reports, 12, 1–8. https://doi.org/10.4322/acr.2021.383
Kaneko, M., Nozawa, H., Rokutan, H., Murono, K., Ushiku, T., & Ishihara, S. (2021). Ectopic decidua of the appendix: a case report. Surgical Case Reports, 7(117), 1–5. https://doi.org/10.1186/s40792-021-01204-9
Lier, M. C. I., Brosens, I. A., Mijatovic, V., Habiba, M., & Benagiano, G. (2017). Decidual bleeding as a cause of spontaneous hemoperitoneum in pregnancy and risk of preterm birth. Gynecologic and Obstetric Investigation, 82(4), 313–321. https://doi.org/10.1159/000468933
Luna Aufroy, A., Orellana Fernández, R., Novell Grau, M., Ferreres Piñas, J. C., & Navarro Soto, S. (2018). Appendicular Deciduosis as a Cause of Acute Abdomen. Cirugía Española (English Edition), 96(6), 383–384. https://doi.org/10.1016/j.cireng.2018.06.002
Malpica, A. (2021). Nonneoplastic Diseases of the Vagina. In M. R. Nucci & C. Parra-Herran (Eds.), Gynecologic Pathology (2nd ed., p. 148). Elsevier.
Malpica, A., Baker, P. M., Cheung, A. N., & Djordjevic, B. (2020). Ectopic decidua. In WHO Female Genital Tumours ((5th ed.,) Vol. 4, p. 206). International Agency for Research on Cancer.
Markou, G. A., Goubin-Versini, I., Carbunaru, O. M., Karatzios, C., Muray, J. M., & Fysekidis, M. (2016). Macroscopic deciduosis in pregnancy is finally a common entity. European Journal of Obstetrics and Gynecology and Reproductive Biology, 197, 54–58. https://doi.org/10.1016/j.ejogrb.2015.11.036
Meserve, E. E. K. (2019). Deciduosis. In M. R. Nucci & E. Oliva (Eds.), Diagnostic Pathology Gynaecological (2nd ed., pp. 218–219). Elsevier.
Noffsinger, A. E. (2017). Nonneoplastic Diseases of the Appendix. In A. E. Noffsinger (Ed.), Fenoglio-Preiser’s Gastrointestinal Pathology (4th ed., p. 1518). Wolters Kluwer.
Nucci, M. R. (2019). Endometriosis and Deciduosis. In M. R. Nucci & E. Oliva (Eds.), Diagnostic Pathology Gynecological (2nd ed., pp. 524–527). Elsevier.
Pigac, B., & Masic, S. (2016). Ectopic decidua of the greater omentum: a case report. Journal of Health Sciences, 6(1), 72–75. https://doi.org/10.17532/jhsci.2016.335
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. UFSM.
Smits, L., Bockstal, M. van, & Frezin, J. (2020). Deciduosis of the appendix: a rare cause of acute abdomen during pregnancy (a case report). The Pan African Medical Journal, 37(316), 1–4. https://doi.org/10.11604/pamj.2020.37.316.26728
Sorokin, P., Nikiforchin, A., Panin, A., Zhukov, A., Gushchin, V., & Kurtser, M. (2020). Diffuse Ectopic Deciduosis Imitating Peritoneal Carcinomatosis with Acute Abdomen Presentation: A Case Report and Literature Review. Case Reports in Obstetrics and Gynecology, 2020, 1–9. https://doi.org/10.1155/2020/8847082
Tsunemitsu, A., Tsutsumi, T., & Ikura, Y. (2021). Deciduosis of the appendix during pregnancy. Internal Medicine, 60(10), 1641–1644. https://doi.org/10.2169/internalmedicine.5960-20
Yin, R. K. (2017). Case study. [EPub]. Canada: Sage Publications.
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