[Acute appendicitis associated with ovarian apoplexy].

Area of Science:

• Gynecology
• Surgical Pathology
• Emergency Medicine

Background:

• Acute appendicitis is a common surgical diagnosis.
• Ovarian apoplexy is a less common gynecological emergency.
• The co-occurrence of these conditions requires careful diagnostic and surgical consideration.

Observation:

• Ovarian apoplexy was identified in 41 (2.6%) of 1581 women operated on for suspected acute appendicitis.
• Right ovarian apoplexy occurred in 26 cases, left in 7, and bilateral in 7.
• Appendectomy was deemed necessary in cases with suspected appendicitis.

Findings:

• Ovarian apoplexy presents a diagnostic challenge, sometimes mimicking or coexisting with acute appendicitis.
• Urgent surgical intervention is indicated for ovarian apoplexy.
• Surgical approaches included Volkovich-Diakonova incision and median laparotomy.

Implications:

• Early recognition of ovarian apoplexy during appendicitis surgery is crucial for appropriate management.
• This highlights the importance of considering gynecological emergencies in women presenting with abdominal pain.
• Standard surgical protocols for appendicitis should accommodate potential concurrent ovarian pathology.