Acute Appendicitis Versus Ruptured Ovarian Cyst in Female Patients Presented as Acute Abdomen Pain Aziz Wisam Mahmood1, Fawzi Hayder Adnan2,* 1Department of Surgery, Albaag Hospital, Mosul, Iraq 2Clinical Pharmacy departments, Baghdad Medical City Hospitals Campus *Corresponding Author: Hayder Adnan Fawzi linical Pharmacy departments, Baghdad Medical City Hospitals Campus, Email: hayder.adnan2010@gmail.com
Online published on 21 February, 2019. Abstract Background Acute appendicitis is one of the most common causes of the acute abdomen and one of the most frequent indications for an emergent abdominal surgical procedure worldwide, while Rupture of an ovarian cyst is a common occurrence in women of reproductive age. Objective differentiate between acute appendicitis and ruptured ovarian cyst by symptoms, signs and investigations before operations Material and Method A retrospective study comparing between ruptured ovarian cyst and acute appendicitis in Albaag hospital from the period of 1st January 2017 to 1st January 2018. The study included 236 patients, 196 with acute appendicitis and 40 patients had ruptured ovarian cyst. Results In the current study there was no significant difference in site of pain, duration of pain, rebound tenderness, abdominal distension. In the other hand poor appetite, fever, and abnormal WBC, were significantly higher in appendicitis compared to ovarian cyst. Irregular menstrual cycle, nausea and vomiting, abnormal GUE (general urine examination) and abnormal US findings, were significantly higher in ovarian cyst compared to appendicitis. Conclusion We found that poor appetite, fever, abnormal WBC, predict the diagnosis of acute appendicitis, while irregular menstrual cycle, nausea, abnormal GUE, and US findings suggestive of rapture ovarian cyst. Top Keywords Appendicitis, abdominal pain, ovarian cyst, duration of pain, site of pain. Top |