Author : Merdan, Issam
GYNAECOLOGICAL DISORDERS THAT MIMICS ACUTE SURGICAL CONDITIONS: A STUDY ON 588 FEMALE PATIENTS WITH THE PRESUMPTIVE DIAGNOSIS OF ACUTE APPENDICITIS
The Medical Journal of Basrah University,
Volume 24, Issue 1, Pages 6-8
Objective: In surgical practice, the surgeon may face several gynaecological disorders that can present as
an acute abdomen, more specifically acute appendicitis. Some of these disorders may not need surgical
interference. The objective of this study was to investigate the incidental findings of gynaecological
disorders in a routine surgical practice in a major hospital in Basrah (Iraq) and to determine the
incidence, types and features of these diseases that differentiate them from surgical diseases in order to
avoid unnecessary surgical procedures.
Patients and Methods: This study was conducted from January 2000 to 2004 in Al-Sadir Teaching
Hospital in Basrah, it included 588 female patients of different age groups who were admitted to the
hospital with presumptive diagnosis of acute appendicitis.
Results: Intra operative diagnosis of acute appendicitis was confirmed in 65.3% while normal appendices
were found in 6.9%. Gynecological disorders were found in 24.3%, of these disorders, the most common
was ruptured ovarian cysts. Age group mostly affected was between 21 and 30 years.
Conclusion: Female patients especially in child bearing age who present clinically as acute abdomen or
acute appendicitis needs proper in hospital observation and repeated clinical examination together with
the use of ultrasound in order to exclude gynaecological disorders that didn't need surgical interference.