| Summary: | In women with acute abdominal pain in the right lower quadrant, acute appendicitis and obstetric and gynaecological pathologies are the main disorders to be eliminated. In the literature, there are no giant ovarian cysts reports associated to acute appendicitis. Here we show the case of an 18-year-old patient with menarche history at 12, irregular menstrual periods, 0 pregnancies and without pathological history, who has symptoms of abdominal pain, leukocytosis and peritoneal irritation data. It was decided to perform surgery, and during the procedure a giant ovarian cyst and perforated appendicitis with regional peritonitis were found. Thus, appendectomy and oophorectomy were performed with posterior satisfactory progress. This is the first case reported in literature of an acute appendicitis case coexistent with a giant ovarian cyst. The possibility of appendical origin associated to palpable mass should not be discounted in women with acute abdominal pain.
|
|---|