The Clinical differentiation between acute appendicitis and right overian cyst

Abstract

Evaluating female patients with severe lower abdominal pain in the casualty department
presents a significant diagnostic challenge due to the presence of multiple pelvic organs
with overlapping symptoms. Conditions such as pelvic inflammatory disease,
endometriosis, ovarian cysts, urinary tract infections, and acute appendicitis often mimic
one another. Among these, differentiating right ovarian cysts from acute appendicitis is
particularly difficult because both can present with similar right lower abdominal pain.This
study aimed to differentiate them clinically based on history, clinical examination, and
laboratory studies .The history of presentation is based on an analysis of pain (including
severity, duration, time and location of onset, nature of pain, and associated symptoms
such as nausea or vomiting), as well as factors like loss of appetite, abdominal distension,
fever, frequency of urination, vaginal bleeding, irregular menstrual cycles, hormonal drug
history, trauma to the abdomen, gynecological history, and surgical history. Physical
examination relies on inspection, palpation, percussion, and auscultation. Our investigation
indicates that acute appendicitis can induce abrupt and strong pain in the lower abdomen.
A pain starts in the middle of the abdomen, around the belly button, and typically in the
right iliac fossa. It could come and go for a few hours, and the pain moves to the lower
right side of the abdomen. will lead to nausea and vomiting, the nausea goes away after a
few hours, and the fever is caused by the immune system. (feel sick in general). This is
because the appendix is bothering the colon next to it .Symptoms of ovarian cysts that
don't involve speaking include pelvic pain, a feeling of fullness or pressure in the
abdomen, bloating, changes in bowel habits (like constipation or trouble going to the
bathroom), urinary problems (like needing to urinate often or having trouble emptying the
bladder), and in some cases, problems with fertility or irregular periods. Yet when these
symptoms change, they get worse when a cyst gets bigger, breaks, or twists.To tell the
difference between acute appendicitis and a right ovarian cyst, you need to do a full
history, physical exam, blood testing, and imaging studies. For the safety of the patient, it
is important to resuscitate them quickly in the emergency room using intravenous fluids,
blood transfusions, antibiotics, and bladder catheterization before surgery.