The right lower abdominal pain that very closely mimic appendicitis is a torsion of right ovarian cyst.Ovarian cyst may occur in either side but of particular interest is the right side one.
These cysts may be of benign or malignant in nature .They vary greatly in size.The interesting fact is that as there is no time for this torsion to take place it becomes difficult to differentiate it from an acute appendicitis.But a pelvic examination by an experienced gynaecologist will reveal the actual nature.An ultrasonogram will clinch the diagnosis.
Once diagnosed, an expectant treatment usually followed in the hope of un-twisting of the the ovary with the cyst.If malignancy is suspected more tests in form of carcinoembryonic antigen are to be done along with a CT scanning.If it seems to be benign but not responding to conservative treatment a surgical option is explored and best so far is a laporoscopic approach.
