Abstract
In females with right lower quadrant acute abdominal pain, gynecological & obstetric pathologies are the main disorders that should be eliminated from the diagnosis of acute appendicitis. This study included pathologic findings in 120 appendectomies in Al-Sadr Teaching Hospital in which exploration was performed as emergency acute appendectomies in 52 cases, while other pathologic processes related to gynecological diseases are distanced from appendicitis intraoperatively. There is a high percentage of coexistence with ovarian cyst in all its types whether twisted, ruptured, hemorrhagic or corpus luteal cyst. Other conditions included: ectopic pregnancy, uterine fibroid, Pelvic Inflammatory Disease (PID), Tubo-Ovarian Abscess (TOA), benign cyst adenoma & endometriosis. Also rarely, meckel's diverticulum that was either incidental finding or discovered by imaging techniques.
Highlights
AIntroduction natomically, vermiform appendix is located at the base of the cecum, near the ileocecal valve where the taenea coli converge on the cecum, it is approximately 8-10 cm long in adult
In female patient in which acute abdominal pain is predominant in right lower quadrant, acute appendicitis and gynecological pathologies are the main disorders to be eliminated and even gynecological pathology can simulate acute appendicitis and vice versa
A total of 120 specimens were received in the histopathology department, 52 (43.3%) cases were found to have appendicitis proven by histopathological examination
Summary
AIntroduction natomically, vermiform appendix is located at the base of the cecum, near the ileocecal valve where the taenea coli converge on the cecum, it is approximately 8-10 cm long in adult. Inflammation of the vestigial vermiform appendix, is the most common cause of acute abdomen in young adolescents[3,4,5]. It is a common cause of acute abdominal pain in women of reproductive age, and appendectomy represent the most common of all emergency surgeries carried out in those patients[6]. Especially in women, other causes of abdominal pain should be searched for if the appendix appears normal during surgery. Other gynecological causes of acute abdomen include[11]: ovarian cyst (complicated, twisted, ruptured), pelvic inflammatory diseases (PID), tubo-ovarian Abscess (TOA), ruptured ectopic pregnancy and septic abortion
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