Appendectomy in the Gynecological Setting: Intraoperative Findings and Corresponding Histopathology

• Published in: Gynecologic 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
• Language: English
• 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
• DOI: 10.1159/000317270
• ISSN: 0378-7346

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.