EURORAD ESR

Case 13937

Endometriosis of the Appendix

Author(s)
Teiga, Eduardo; Bazan, Fernando; Radosevic, Aleksandar; Sánchez, Juan; Busto, Marcos

Hospital Universitario del Mar; Passeig Maritim 08005 Barcelona, Spain; Email:eduardo_teiga@hotmail.com
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    US
     

    The US revealed a homogenous hypoechoic and thick-walled tubular lesion with regular forms located at the pericecal area. No internal vascularity was noted.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Computer Applications-General; Special Focus: Hyperplasia / Hypertrophy;

    The US revealed a homogenous hypoechoic and thick-walled tubular lesion with regular forms located at the pericecal area. No internal vascularity was noted.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 2
    CT
     

    CT exam depicted a nonspecific focal mass (yellow arrow) in the distal third of the appendix without any evidence of inflammation

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    CT depicted a nonspecific focal mass in the distal third of the appendix without any evidence of inflammation

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    Coronal modified view better depits the relation of the appendiceal mass (yellow arrow) with the ileum (green arrowhead), appendix (red arrow pinpointing the air bubble in its lumen) and the cecum (white arrowheads)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 3
    Endoscopy

    Endoscopy confirmed a 3 cm endoluminal protruding appendiceal mass displaying a hard consistency and an overlying smooth mucosa.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
The US revealed a homogenous hypoechoic and thick-walled tubular lesion with regular forms located at the pericecal area. No internal vascularity was noted.
 
The US revealed a homogenous hypoechoic and thick-walled tubular lesion with regular forms located at the pericecal area. No internal vascularity was noted.
 
CT exam depicted a nonspecific focal mass (yellow arrow) in the distal third of the appendix without any evidence of inflammation
 
CT depicted a nonspecific focal mass in the distal third of the appendix without any evidence of inflammation
 
Coronal modified view better depits the relation of the appendiceal mass (yellow arrow) with the ileum (green arrowhead), appendix (red arrow pinpointing the air bubble in its lumen) and the cecum (white arrowheads)
 
Endoscopy confirmed a 3 cm endoluminal protruding appendiceal mass displaying a hard consistency and an overlying smooth mucosa.
 
 
 
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