Abstract
In general, pain in the lower right abdomen is the most frequent reason for hospital surgical admissions. It is very difficult to confirm appendiceal endometriosis before operation, and revealing primary appendiceal endometriosis is virtually impossible.
It is advisable to consider endometriosis in fertile women with chronic abdominal pain of unclear aetiology and gynaecological symtoms in their personal history. The best diagnostic and therapeutic method, respectively, is laparoscopy enabling exploration of the entire peritoneal cavity including the minor pelvis, and performing appendectomy as well as excision of suscipious endometrial lesions.
The definitive diagnosis is established by histopathological evaluation. Gynaecological assesment and follow-up is highly recommended after surgery.