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Hamid Jassim Mohammed Al. Karawi, Dgs*, Suhad Sahib Hammadi Tukkee, Dgo and Ali Mayoof Fahad Khazaali, Dgs


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 Iraqi hospital from the period of 1st June 2018 to 1st June 2019. The study included 186 patients, 166 with acute appendicitis and 30 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.

Keywords: appendicitis, abdominal pain, ovarian cyst, duration of pain, site of pain.

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