1 MB,ChB, CABS, Consultant General Surgeon, Alsadr Teaching Hospital.

2 MB,ChB, Arab Board Candidate, Alsadr Teaching Hospital, Basrah.

3 CABS, FACS, FRCS, FICSMRCS, F.MAS, General and laparoscopic Surgeon, Al-Zahraa College of Medicine, University of Basrah, Basrah, IRAQ.


In females with right lower quadrant acute abdominal pain, gynecological & obstetric pathologies are the main disorders that should be eliminated from the diagnosis of acute appendicitis. This study included pathologic findings in 120 appendectomies in Al-Sadr Teaching Hospital in which exploration was performed as emergency acute appendectomies in 52 cases, while other pathologic processes related to gynecological diseases are distanced from appendicitis intraoperatively.
 There is a high percentage of coexistence with ovarian cyst in all its types whether twisted, ruptured, hemorrhagic or corpus luteal cyst. Other conditions included: ectopic pregnancy, uterine fibroid, Pelvic Inflammatory Disease (PID), Tubo-Ovarian Abscess (TOA), benign cyst adenoma & endometriosis. Also rarely, meckel's diverticulum that was either incidental finding or discovered by imaging techniques.