title: Acute right lower abdominal pain in women of reproductive age: clinical clues.
abstract: OBJECTIVE
  To study possible gynecological organ pathologies in the differential diagnosis of acute right lower abdominal pain in patients of reproductive age.
  
  
  METHODS
  Following Clinical Trials Ethical Committee approval, the retrospective data consisting of physical examination and laboratory findings in 290 patients with sudden onset right lower abdominal pain who used the emergency surgery service between April 2009 and September 2013, and underwent surgery and general anesthesia with a diagnosis of acute appendicitis were collated.
  
  
  RESULTS
  Total data on 290 patients were obtained. Two hundred and twenty-four (77.2%) patients had acute appendicitis, whereas 29 (10%) had perforated appendicitis and 37 (12.8%) had gynecological organ pathologies. Of the latter, 21 (7.2%) had ovarian cyst rupture, 12 (4.2%) had corpus hemorrhagicum cyst rupture and 4 (1.4%) had adnexal torsion. Defense, Rovsing's sign, increased body temperature and increased leukocyte count were found to be statistically significant in the differential diagnosis of acute appendicitis and gynecological organ pathologies.
  
  
  CONCLUSIONS
  Gynecological pathologies in women of reproductive age are misleading in the diagnosis of acute appendicitis.
authors.affiliation: Sinan Hatipoglu, Department of General Surgery Unit, School of Medicine, Adiyaman University, 02040 Adiyaman, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Hatipoglu
authors.affiliation: Sinan Hatipoglu, Department of General Surgery Unit, School of Medicine, Adiyaman University, 02040 Adiyaman, Turkey.
authors.forename: Filiz
authors.initials: F
authors.lastname: Hatipoglu
authors.affiliation: Sinan Hatipoglu, Department of General Surgery Unit, School of Medicine, Adiyaman University, 02040 Adiyaman, Turkey.
authors.forename: Ruslan
authors.initials: R
authors.lastname: Abdullayev
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis; D015746:Abdominal Pain / Q000175:diagnosis*; D000293:Adolescent; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis; D001831:Body Temperature; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis; D006801:Humans; D007958:Leukocyte Count; D010048:Ovarian Cysts / Q000175:diagnosis; D010060:Ovulation; D012189:Retrospective Studies; D055815:Young Adult
keywords: Anamnesis; Appendicitis; Differential diagnosis; Gynecological pathologies; Physical examination
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