Right pelvic pain is not necessarily due to appendicitis

Appendicitis of course has right pelvic pain, but not necessarily every pelvic pain must be appendicitis. There are many organs in this area when the inflammation also has similar symptoms, such as perforation of small intestine, twisted ovarian cysts, ectopic abortion .

The pelvic area must be very narrow, but there are many overlapping organs such as appendix, cecum, ileum, ovary, ovary (female), right ureter, pelvic lumbar muscle. Even the experienced physician must be careful to have an accurate diagnosis of an atypical right pelvic pain. Painful pelvic diseases must include:

Appendicitis: There is always a right pelvic region pain. The pain point is usually the point of connecting the third and third thirds in the straight line from the front to the navel, called Mac Burney points. If the appendix on the left, the pain point is on the left, but very rare. Patients often have a fever of 37-39 degrees Celsius, rapid pulse, gastrointestinal disorders, poor appetite, nausea. The leukocyte test is elevated, pressing on the pelvis must increase pain, react and contract the abdominal wall. Emergency surgery is required in the early hours. If left late, the appendix causes many complicated complications.

Small intestinal perforation: Most are seen in typhoid or end-ileitis (Crohn's disease). In the case of typhoid, the patient had a weekly fever, fatigue, delirium, people who were weak, dehydrated. Diagnosis of typhoid serum positive, abdominal distention. At first pain in the right pelvis, after pain in the entire abdomen. In the case of Crohn's disease, the intestine is punctured, the symptoms will be like punctured appendicitis, emergency surgery.

Meckel bowel pocket: Common in boys under 17 years old. Symptoms are abdominal pain and bloody, pale people. When the Meckel bag is punctured, it causes peritonitis. The disease is often very wrong with appendicitis, requiring emergency surgery. If late diagnosis is easy to cause death.

Twisting the cyst of the ovary: Patients sometimes see a bump in the abdomen and abdominal pain. When the lump disappears, the abdominal pain also disappears, the ultrasound shows the ovarian cyst. If ovarian cysts are twisted, patients often have severe pain, writhing. In this case, surgery to explore the lower abdomen is required for surgery.

Abortions of ectopic pregnancy: Often patients with slow menstruation, abdominal pain in the right pelvic area, pain rolling. There is a shock of blood loss, red blood cells, lower blood pressure. Check the vagina, touch the bag with pain, little blood with your hands. Without emergency surgery, the patient will die from blood loss.

Perforation of the stomach - duodenum: Patients with a history of gastric ulcer - duodenum. In case of punctured stomach, gastric juice flows to the right pelvis, the patient suffers from pain, cramps of the abdominal wall; At first, pain in the entire abdomen, after pain in the right pelvic hole. This case is easily mistaken for peritonitis due to appendicitis. Emergency surgery is needed to handle the hole.

Pressure-carcinoma of the perineum: The patient also suffered from right pelvic pain, very high fever, increased white blood cells. There are important signs that the right leg is shrinking, stretching is painful. Get the abscess out.

Adnexitis: The patient suffers from both the lower abdomen and two pelvic holes. If the inflammation of the appendage is painful, the right pelvic pain is affected. 39-40 degree fever, high white blood cells. Non-surgical appendicitis, giving antibiotics away.

Caecal tuberculosis: The patient is thin, pale, long-term, 37-38.5 degrees fever, sometimes diarrhea or constipation. Feeling the abdomen when you see a tumor in the right pelvic hole, pressing pain. Treatment with anti-tuberculosis drugs is removed.

Right ureter stones: Pain spreads to the scrotum, blood in the urine, urine tests have red blood cells; No fever. Soft abdomen wall, palpate the pelvic hole to the pain as in appendicitis. Making ultrasound, X-rays can see stones. When the stones are blocked, surgery is needed.

Pneumonia - right pleura: There is pain in the right pelvic area, especially children. Patients with fever, no vomiting, leukocytosis increased, there is a feeling of spasticity on the right abdominal wall mildly. Pulmonary and radiological hearing will clearly show pneumonia and pleura.

In addition, pain of the pelvic right must also be encountered when the spinal cord is twisted, twisted egg tube, intestinal cage, abscess of the abdominal wall . When pelvic pain must be accompanied by fever, nausea, then first think of appendicitis. But there are cases of appendicitis that do not adequately describe the symptoms, so the patient must clearly tell the doctor, monitor closely and check again and again (about 1-3 hours / time). Thus, there is no need to ignore cases of emergency surgery because if left late, the disease will cause extremely complicated and even fatal complications.