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An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review

Acute appendicitis is one of the most common causes of right iliac fossa (RIF) pain in the younger population. However, multiple other pathologies presenting with RIF pain can mimic acute appendicitis. In the female gender, the differentials for RIF pain are broader. Multiple pathologies can present...

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Autores principales: Pinto, Mihindukulasuriya Yvonne Presadini, Hool, Graham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129350/
https://www.ncbi.nlm.nih.gov/pubmed/37113339
http://dx.doi.org/10.7759/cureus.36713
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author Pinto, Mihindukulasuriya Yvonne Presadini
Hool, Graham
author_facet Pinto, Mihindukulasuriya Yvonne Presadini
Hool, Graham
author_sort Pinto, Mihindukulasuriya Yvonne Presadini
collection PubMed
description Acute appendicitis is one of the most common causes of right iliac fossa (RIF) pain in the younger population. However, multiple other pathologies presenting with RIF pain can mimic acute appendicitis. In the female gender, the differentials for RIF pain are broader. Multiple pathologies can present with similar symptomatology that can mimic acute appendicitis, leading to an incorrect diagnosis, unnecessary surgical interventions, and complications. In females of reproductive age, gynaecological causes can present similarly. Here, we present a case of an ovarian teratoma mimicking acute complicated appendicitis. A female of reproductive age presented to our hospital with RIF pain of six days, associated with fever, nausea, vomiting, and anorexia. A clinical diagnosis of acute complicated appendicitis was suspected, and further imaging was arranged to confirm the diagnosis. Imaging showed a normal appendix with a right adnexal mass separated from the ovary, representing a teratoma. She underwent elective surgery for the excision of teratoma after further investigations. Ovarian teratomas are not a common mimicker of appendicitis. One should consider possible gynaecological causes as a differential for RIF pain. Due to the wide variety of differentials, when in doubt, especially in the female gender, further imaging should be considered for confirmation of diagnosis.
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spelling pubmed-101293502023-04-26 An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review Pinto, Mihindukulasuriya Yvonne Presadini Hool, Graham Cureus Emergency Medicine Acute appendicitis is one of the most common causes of right iliac fossa (RIF) pain in the younger population. However, multiple other pathologies presenting with RIF pain can mimic acute appendicitis. In the female gender, the differentials for RIF pain are broader. Multiple pathologies can present with similar symptomatology that can mimic acute appendicitis, leading to an incorrect diagnosis, unnecessary surgical interventions, and complications. In females of reproductive age, gynaecological causes can present similarly. Here, we present a case of an ovarian teratoma mimicking acute complicated appendicitis. A female of reproductive age presented to our hospital with RIF pain of six days, associated with fever, nausea, vomiting, and anorexia. A clinical diagnosis of acute complicated appendicitis was suspected, and further imaging was arranged to confirm the diagnosis. Imaging showed a normal appendix with a right adnexal mass separated from the ovary, representing a teratoma. She underwent elective surgery for the excision of teratoma after further investigations. Ovarian teratomas are not a common mimicker of appendicitis. One should consider possible gynaecological causes as a differential for RIF pain. Due to the wide variety of differentials, when in doubt, especially in the female gender, further imaging should be considered for confirmation of diagnosis. Cureus 2023-03-26 /pmc/articles/PMC10129350/ /pubmed/37113339 http://dx.doi.org/10.7759/cureus.36713 Text en Copyright © 2023, Pinto et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Pinto, Mihindukulasuriya Yvonne Presadini
Hool, Graham
An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title_full An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title_fullStr An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title_full_unstemmed An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title_short An Ovarian Teratoma Mimicking Complicated Acute Appendicitis: A Case Report and Literature Review
title_sort ovarian teratoma mimicking complicated acute appendicitis: a case report and literature review
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129350/
https://www.ncbi.nlm.nih.gov/pubmed/37113339
http://dx.doi.org/10.7759/cureus.36713
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