Rare Case of Appendiceal Endometriosis Successfully Managed by Laparoscopy at Sangolkar Hospital, Sangli

When Endometriosis Extended Beyond the Ovary – A Rare Cause of Chronic Pelvic & Right-Sided Abdominal Pain

👨‍⚕️ Surgeon: Dr. Rahul Ramhari Sangolkar – Advanced Laparoscopic Gynecologist🏥 Hospital: Sangolkar Hospital, Near Maratha Samaj, Ambedkar Road, Sangli – 416416🩺 Qualification: MBBS, DGO, DNB (Mumbai), Diploma in Laparoscopy (Germany)

Case Overview

A woman presented to Sangolkar Hospital, Sangli with:

• Chronic pelvic pain

• Persistent right-sided abdominal pain

  
  

Clinical evaluation suggested endometriosis, a condition where tissue similar to the uterine lining grows outside the uterus. However, laparoscopic findings revealed a rare form of endometriosis involving the appendix.

Diagnosis: Appendiceal Endometriosis with Fallopian Tube Adhesions

During evaluation, the patient was diagnosed with:

• Endometriosis involving the appendix

• Endometriotic involvement of the right fallopian tube

• Dense adhesions between the appendix and the right fallopian tube

  
  

While endometriosis most commonly affects the ovaries, it can occasionally involve:

• Uterosacral ligaments

• Fallopian tubes

• Pelvic peritoneum

• Appendix

• Ureters

• Intestine

Appendiceal endometriosis is an uncommon presentation and can mimic other causes of right lower abdominal pain.

Procedure: Advanced Laparoscopic Management of Appendiceal Endometriosis

🛠️ Surgical Highlights:

• Diagnostic laparoscopy to evaluate pelvic anatomy

• Identification of appendiceal endometriosis

• Careful laparoscopic adhesiolysis

• Separation of the appendix from the right fallopian tube

• Complete treatment of visible endometriotic disease while preserving surrounding structures

  
  

🎥 A short surgical video demonstrates the adhesions between the right fallopian tube and the appendix, highlighting this rare manifestation of endometriosis.

Execution & Surgical Expertise

👨‍⚕️ Performed by: Dr. Rahul Ramhari Sangolkar

Advanced laparoscopic magnification enabled:

• Accurate identification of deep endometriotic lesions

• Safe adhesiolysis

• Precise dissection with minimal tissue trauma

• Comprehensive treatment of complex pelvic endometriosis