Which other differential diagnoses should be considered?

The differential diagnoses are listed below. The most common mimics are appendicitis or ectopic pregnancy.

• Gynaecological causes:
  • Ectopic pregnancy
  • Ruptured ovarian cyst
  • Endometriosis
  • Ovarian torsion
  • Mittelschmerz pain
• Gastrointestinal causes:
  • Appendicitis   
    • Cervical excitation occurs in 25% women with appendicitis
  • Irritable bowel syndrome
  • Diverticular disease

• Other:
  • Urinary Tract Infection
  • Functional pain ^2,4,6