Infertility associated with hematochezia: A complication of perforated appendicitis

Introduction: Infection and inflammation of organs adjacent to gastrointestinal tract may cause a pathological connection. Patient: In this report, complicated appendicitis caused protrusion of right ovary and tube into the sigmoid colon of a ۴۰-year-old infertile woman. The mass appearing as a polypoid lesion during colonoscopy caused abdominal pain and bleeding and proved to be right adnexa pathologically. Conclusion: In many cases ruptured appendicitis, adnexa may protrude in large intestine lumen and mimic rectal polyp symptoms associated with infertility, hence a precise history taking and accurate colonoscopy may aid in diagnosis of this condition.