{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:44:52Z","timestamp":1792032292353,"version":"4.4.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pyosalpinx, the accumulation of pus within the fallopian tube, rarely causes acute appendicitis. We report a 38-year-old woman who presented with a 10-day history of right lower quadrant pain and low-grade fever and was diagnosed radiologically with a perforated appendix. At laparoscopy, intraperitoneal pus, an appendix perforated at its tip, and a perforated right fallopian tube near the utero-tubal junction were found. Laparoscopic appendectomy with right salpingectomy was performed. Histopathology confirmed acute appendicitis and acute salpingitis; cultures showed no growth and GeneXpert was negative. She recovered uneventfully over six months of follow-up. To our knowledge, this is the first documented perforated appendix caused by ascending infection from a perforated pyosalpinx managed laparoscopically. The case highlights the importance of considering gynaecological pathology in atypical appendicitis and the value of a laparoscopic, interdisciplinary approach.<\/jats:p>","DOI":"10.1093\/jscr\/rjag921","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:23:51Z","timestamp":1790425431000},"source":"Crossref","is-referenced-by-count":0,"title":["Perforated appendicitis secondary to a ruptured pyosalpinx managed by laparoscopic appendectomy and salpingectomy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Naveed","family":"Ali Khan","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dow University of Health Sciences, SUPARCO Road, off Main University Road , Gulzar-e-Hijri, Scheme 33, Karachi 74200,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raazia","family":"Ramzan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dow University of Health Sciences, SUPARCO Road, off Main University Road , Gulzar-e-Hijri, Scheme 33, Karachi 74200,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Mustafa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dow University of Health Sciences, SUPARCO Road, off Main University Road , Gulzar-e-Hijri, Scheme 33, Karachi 74200,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aqib S","family":"Awan","sequence":"additional","affiliation":[{"name":"Dow International Medical College, Dow University of Health Sciences , SUPARCO Road, off Main University Road, Gulzar-e-Hijri, Scheme 33, Karachi 74200 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syeda A","family":"Arif","sequence":"additional","affiliation":[{"name":"Dow International Medical College, Dow University of Health Sciences , SUPARCO Road, off Main University Road, Gulzar-e-Hijri, Scheme 33, Karachi 74200 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ushna","family":"Yasir","sequence":"additional","affiliation":[{"name":"Dow International Medical College, Dow University of Health Sciences , SUPARCO Road, off Main University Road, Gulzar-e-Hijri, Scheme 33, Karachi 74200 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"2026101421590364700_ref1","doi-asserted-by":"publisher","first-page":"8782","DOI":"10.12998\/wjcc.v9.i29.8782","article-title":"Salmonella typhi infection-related appendicitis: a case report","volume":"9","author":"Zheng","year":"2021","journal-title":"World J Clin Cases"},{"key":"2026101421590364700_ref2","volume-title":"Schwartz\u2019s Principles of 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