Appendectomy in the Gynecological Setting: Intraoperative Findings and Corresponding Histopathology

Background/Aims: To evaluate the intraoperative findings and corresponding histopathology associated with appendectomies performed during benign gynecological surgery. Methods: Retrospective case series. Results: Twenty-two appendectomies were performed from 2002 through 2008 at Hutzel Women’s Hospi...

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Published inGynecologic and obstetric investigation Vol. 71; no. 3; pp. 189 - 192
Main Authors Shavell, Valerie I., Mahdi, Haider M., Awonuga, Awoniyi O., Edelman, David A., Webber, John D., Gidwani, Raja M., Husain, Mujtaba, Berman, Jay M.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland Karger 01.01.2011
S. Karger AG
Subjects
Adult
Appendectomy
Appendicitis - pathology
Appendicitis - surgery
Appendix - pathology
Appendix - surgery
Biological and medical sciences
Endometriosis - diagnosis
Endometriosis - pathology
Endometriosis - surgery
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Original Article
Retrospective Studies
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Young Adult
Pathology
Appendectomy
Histology
Appendix
Anatomic pathology
Histopathology
Treatment
Vermiform appendix
Surgery
Gynecology
Intraoperative
Obstetrics
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Summary:Background/Aims: To evaluate the intraoperative findings and corresponding histopathology associated with appendectomies performed during benign gynecological surgery. Methods: Retrospective case series. Results: Twenty-two appendectomies were performed from 2002 through 2008 at Hutzel Women’s Hospital due to intraoperative findings of inflammation or erythema (n = 8), periappendiceal adhesions (n = 5), injury to the appendix or mesoappendix (n = 2), fecalith (n = 2), dilation of the appendix (n = 1), adnexal mass involving the appendix (n = 1), and suspected lipoma (n = 1). Final pathology was consistent with significant findings such as acute inflammation, periappendicitis, and adhesions or endometriosis involving the appendix in 68.2% of cases. Conclusion: In the benign gynecological setting, appendectomies were primarily performed due to inflammation or erythema. In the majority of cases, significant appendiceal pathology was confirmed.
Bibliography:ObjectType-Article-1
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ISSN:0378-7346
1423-002X
DOI:10.1159/000317270