PDF(Pubmed)
Abstract：
UNASSIGNED: An acute abdomen is a medical emergency that requires early diagnosis and treatment. In pregnancy, this process is significantly more challenging, and radiological findings are sometimes unclear due to the enlarged uterus displacing other structures. Moreover, endometriosis-related complications are rare, and the disease is often undiagnosed.
UNASSIGNED: We report a case of acute perforation of the cecum and appendix during pregnancy (35 weeks of gestation) caused by a previously unknown, deep infiltrating endometriosis with focal ulceration of the affected bowel wall, which sonographically seemed to be acute appendicitis.
UNASSIGNED: Despite the relatively low risk, clinicians should be aware of possible endometriosis-associated complications in pregnancy with potentially life-threatening events, even in previously unknown endometriosis. Further studies should evaluate intestinal complications during pregnancy in relation to previous treatment of intestinal endometriosis (conservative vs. surgical).
UNASSIGNED: We report a case of acute perforation of the cecum and appendix during pregnancy (35 weeks of gestation) caused by a previously unknown, deep infiltrating endometriosis with focal ulceration of the affected bowel wall, which sonographically seemed to be acute appendicitis.
UNASSIGNED: Despite the relatively low risk, clinicians should be aware of possible endometriosis-associated complications in pregnancy with potentially life-threatening events, even in previously unknown endometriosis. Further studies should evaluate intestinal complications during pregnancy in relation to previous treatment of intestinal endometriosis (conservative vs. surgical).
摘要：
急腹症是一种需要早期诊断和治疗的医疗紧急情况。在怀孕期间,这个过程更具挑战性，和放射学的发现有时是不清楚的，因为扩大的子宫移位其他结构。此外，子宫内膜异位症相关并发症很少见，而这种疾病往往得不到诊断。
我们报告一例妊娠期间盲肠和阑尾急性穿孔（妊娠35周），深部浸润性子宫内膜异位症伴受影响的肠壁局灶性溃疡，超声检查似乎是急性阑尾炎。
■尽管风险相对较低，临床医生应注意妊娠期间可能发生的子宫内膜异位症相关并发症，并可能危及生命。甚至在以前未知的子宫内膜异位症中。进一步的研究应评估妊娠期间肠道并发症与先前肠道子宫内膜异位症的治疗关系（保守与外科）。
我们报告一例妊娠期间盲肠和阑尾急性穿孔（妊娠35周），深部浸润性子宫内膜异位症伴受影响的肠壁局灶性溃疡，超声检查似乎是急性阑尾炎。
■尽管风险相对较低，临床医生应注意妊娠期间可能发生的子宫内膜异位症相关并发症，并可能危及生命。甚至在以前未知的子宫内膜异位症中。进一步的研究应评估妊娠期间肠道并发症与先前肠道子宫内膜异位症的治疗关系（保守与外科）。
