A Rare Postpartum Presentation of Appendiceal Rupture Concealed by Uterine Myoma: a case report

Abstract

A 31-year-old primiparous woman developed acute abdomen 12 hours post vaginal delivery. Emergency laparotomy revealed 2000 mL of pus and a necrotic myoma tamponading a ruptured appendix. Myomectomy, peritoneal lavage, and bowel exploration were performed. Postoperative wound infection was managed with antibiotics and local care. Recovery was favorable at eight weeks. This case highlights the diagnostic challenges of postpartum appendicitis, often masked by physiological changes. Early surgical intervention and multidisciplinary management are essential for optimal outcomes.