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- Tsunemitsu Ayako
- Department of General Internal Medicine, Takatsuki General Hospital, Japan
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- Tsutsumi Takahiko
- Department of General Internal Medicine, Takatsuki General Hospital, Japan
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- Ikura Yoshihiro
- Department of Pathology, Takatsuki General Hospital, Japan
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説明
<p>Acute appendicitis is an important differential diagnosis in patients with right lower quadrant pain during pregnancy. Endometriosis, a hormone-related pathology, is another possibility. Patients with endometriosis are typically symptomatic before pregnancy. Stromal endometriosis is a variant of endometriosis that presents no symptoms before pregnancy but which occasionally presents with the new onset of symptoms during pregnancy. We report the case of a 35-year-old woman in her 8th month of pregnancy who presented with impending appendiceal rupture due to deciduosis of the appendix, a progesterone-related condition, during pregnancy. This case suggests that deciduosis/stromal endometriosis should be considered as a differential diagnosis of acute abdomen during pregnancy, even if the patient is asymptomatic before pregnancy. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 60 (10), 1641-1644, 2021-05-15
一般社団法人 日本内科学会
