Difficulties and errors of diagnosis of acute appendicitis and gynecologic diseases

: Differential diagnosis of acute appendicitis and acute gynecological diseases frequently presents great difficulties since they often have similar symptoms. The attention of nubile women should be given to gynecological anamnesis, vaginal and rectal methods of examination in admission. In certain cases women admitted with the diagnosis of acute appendicitis, should be dynamically observed. When necessary, a repeated gynecological examination must be made. With symptoms of acute appendicitis and internal hemorrhage the laparotomy by Lennard's incision of inferio-median laparotomy is indicated. The process with secondary changes during extrauterine pregnancy should be ablated.