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Abstract
Acute pain of pelvic origin is a common symptom necessitating emergent medical evaluation. Acute pelvic pain in young women can present as a unique diagnostic dilemma. Differential diagnosis in acute pelvis pain can vary according to risk. Possible causes span a gamut from functional ovarian cysts that require routine follow-up to adnexal torsion and ectopic pregnancy requiring urgent surgical management.
This case report illustrates how concomitant gynecologic disorders can occur in patients with acute appendicitis. The laparoscopic operation revealed a ruptured ovarian endometriotic cyst concurrent with acute appendicitis and was proven by histopathology. This serves as a reminder that even though a rare case is contemporary, two different entities can occur.
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References
- Louis MA, Doubleday AR, Lin E, Baek JY, Andoni A, Wang XH. Case report abdominal pain in the female patient : A case of concurrent acute appendicitis and ruptured endometrioma. Hindawi publishing corporation 2016:1-4.
- Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin ini nonpregnant premenopausal patiens. Radiographics 2008;28:1645-59.
- Dias EL, Filho LG, Ferreira AD. Ruptured endometrioma main imaging findings. Radiol Bras 2018;51(6):407-14.
- Lee YR. CT Imaging findings of ruptured ovarian endometriotic cysts : emphasis on the differenrial diagnosis with ruptured ovarian functional cysts. Korean J Radiol 2011;12(1):59-65.
- Iraha Y, Okada M, Iraha R, Azama K, Yamashiro T, Tsubakimoto M et al. CT and MRI imaging of gynecologic emergencies. Radiographics 2017;37:1569-86.
References
Louis MA, Doubleday AR, Lin E, Baek JY, Andoni A, Wang XH. Case report abdominal pain in the female patient : A case of concurrent acute appendicitis and ruptured endometrioma. Hindawi publishing corporation 2016:1-4.
Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin ini nonpregnant premenopausal patiens. Radiographics 2008;28:1645-59.
Dias EL, Filho LG, Ferreira AD. Ruptured endometrioma main imaging findings. Radiol Bras 2018;51(6):407-14.
Lee YR. CT Imaging findings of ruptured ovarian endometriotic cysts : emphasis on the differenrial diagnosis with ruptured ovarian functional cysts. Korean J Radiol 2011;12(1):59-65.
Iraha Y, Okada M, Iraha R, Azama K, Yamashiro T, Tsubakimoto M et al. CT and MRI imaging of gynecologic emergencies. Radiographics 2017;37:1569-86.