Decidualized Endometriosis Causing Inversion of the Appendix, Massive Hemorrhage and Fetal Death
Anthony M Magliocco,1Robert Mulloy,1Roy M Preshaw,1and James K Kelly1
Received24 Apr 1990
Accepted05 Sept 1990
Abstract
An extraordinary case of inversion of the appendix due to decidualized endometriosis is reported. A 35-year-old woman presented at 3 7 weeks of pregnancy with acute massive rectal hemorrhage and fetal death. A limited right hemicolectomy was performed. The cecum contained an inverted appendix with an ulcerated tip. Histologically there was decidualized endometriosis in the ulcer bed and in all layers of the appendiceal wall.
