Journal of Acute Disease
Acute appendicitis coexisting with a ruptured ovarian cyst: A case report
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Abstract:
Rationale: Acute appendicitis is a surgical emergency that can be difficult to diagnose, especially in females, due to a broad differential diagnosis. One of the conditions that may mimic or coexist with appendicitis is a ruptured ovarian cyst. However, distinguishing between the two is critical, as their management strategies differ significantly. Patient concerns: A 23-year-old married woman with no known comorbidities presented with a one-day history of pain in her right iliac fossa.
Diagnosis: Abdominal ultrasonography confirmed an inflamed appendix; however, further pelvic scanning identified a ruptured right adnexal cyst. This indicated a case of acute appendicitis coexisting with a right adnexal cyst, resulting in hemoperitoneum.
Interventions: Laparoscopic appendectomy and deroofing of the cyst were performed, along with peritoneal lavage, and clot evacuation.
Outcomes: The patient was discharged one week after surgery.
Lessons: Clinicians should maintain a high index of suspicion for clinical variants of acute appendicitis, especially in female patients presenting with abdominal pain and a concurrent right hemorrhagic ovarian cyst.
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