Right lower Abdominal Pain In Ladies -5

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. 

Related articles by Zemanta

• Appendix, ovary. Whatever. (trueslant.com)

Right lower Abdominal Pain In Ladies-4

Image via Wikipedia

                       Right lower abdominal pain in ladies may come from an infection in the fallopian tubes .Fallopian tubes are simply called tubes which are connected to uterus in the middle  and freely open in the outer sides to receive an ovum.These are also called salpinx.These many a times get infected from outside through vagina and uterus .Some times gets infected from blood borne infection from some other infection.This infection is usually bacterial or bacteria like organisms and called Salpingitis.If it is in the right side may confuse with an appendicitis.It may also occur both the sides at the same time.The patient complains of pain in the middle to lower abdomen ,fever vomiting etc.. 

Image via Wikipedia

  In that case though there is some confusion still clinical differentiation is possible.This pain and elicited pain on pressure is more towards the center and in appendicitis it is more towards out side.The sequence of a classic appendicitis e.g. pain, vomiting and fever pattern is not present.A history of  vaginal discharge,  usually foul smelling may be present.A  pelvic examination will differentiate it.A swab collected from there will prove it pathologically.An ultrasonography will aid the diagnosis.
   So here a non-surgical treatment is followed and   a gynecologist takes over the case.


 

Right lower Abdominal Pain In Young Lady -2

An Ovary About Release an Egg.

Abdominal pain that to right lower abdomenal and again in young ladies poses much difficulty as well as ease.It commonly confuses with appendicitis.Last time we had a post on ruptured ectopic pregnancy a differential diagnosis of appendicitis and how it could be distinguished .Another common cause of such type of pain is pain in the mid-menstrual cycle i.e. pain around 14 days before beginning of menstruation.It is called Mittelschmerz.
 This occurs due to rupture of follicular cyst during ovulation   associated with some amount of bleeding to the pelvic cavity.So, if it occurs in the right side confuses with appendicitis.Main distinguishing point is it's typical mid-cycle timing ,a negative pregnancy test and absence of typical rigidity in the right lower abdomen.
  Again it can be confirmed from a sonogram .It does not require much treatment except some analgesics and reassurance.Some times it repeats in some ladies.    

Image via Wikipedia

Related articles by Zemanta

• Fertility makes women more open to romance (nationalpost.com)

Right lower Abdominal Pain In Young Lady

Tubal Pregnancy

The cause of abdominal  pain is many a times very difficult and some times very easy to diagnose.If a lady of reproductive age comes for right lower abdominal pain it makes more difficult  to arrive at a definitive diagnosis.There are number of diseases which present as right lower abdominal pain and in ladies more conditions add up.But a married lady of reproductive age presenting with missed period ,right  lower abdominal pain,severe pallor and shock the most probable diagnosis will come to mind is ruptured ectopic pregnancy in right side.
Ectopic pregnancy is implantation of product of conception in a place other than the normal i.e. uterus.There are several ectopic sites .The most important and common site is tube.Even ectopic pregnancy is seen in women on temporary contraceptive measures like intrauterine devices.This happens because after the fertilization in a part of tube the product does not descend to the normal site i.e. uterus and gets implanted in a part of tube.As the product grows in size, the narrow tube can not accommodate it and bursts towards the end of 8th week to the   beginning  of 12th week.When this happens it is a medical emergency.There is profound blood loss in abdomen and all other symptoms as described earlier appears.
It confuses among other with most common appendicitis and distinguished by profound pallor.An ultrasonogram clinches the diagnosis.Intervention at a correct time saves the life of patient.