Right Adnexal Tenderness: Causes & Reasons

Possible Causes for Right Adnexal Tenderness

Digital vaginal examination revealed a median, long, closed cervix with cervical excitation tenderness; a bulky uterus of about 14 weeks gestation and a right adnexal tenderness [ispub.com]

Exam is significant for cervical friability and white cervical discharge, as well as cervical motion and right adnexal tenderness. [emdocs.net]

A 34-year-old female with right adnexal tenderness. [doi.org]

Tubal Pregnancy

Exam is significant for cervical friability and white cervical discharge, as well as cervical motion and right adnexal tenderness. [emdocs.net]

Unilateral adnexal tenderness or fullness may suggest the presence of a tuboovarian abscess, while right upper quadrant tenderness may suggest Fitz-Hugh-Curtis syndrome where [saem.org]

Some more signs that indicate the risks of ectopic pregnancy are, increased HCG levels, pelvic pain, vaginal bleeding, sharp lower abdominal pain, adnexal tenderness, and [medicoverfertility.com]

Recurrent Appendicitis

adnexal tenderness. 100 Many authors have tried to identify features that would differentiate these two diseases, and have suggested the following. [ahcmedia.com]

[…] identified as having appendicitis. 100 The majority of misdiagnosed women had atypical features in their presentations, including diffuse bilateral lower quadrant pain, CMT, and right [ahcmedia.com]

Appendicitis

[…] lower quadrant : Pelvic Inflammatory Disease and Tubo-Ovarian Abscess in women Symptoms: vaginal discharge, adnexal or uterine tenderness, lower abdominal pain, cervical [foamcast.org]

[…] piperacillin-tazobactam 4.5g IV, cefoxitin 2g IV (40 mg/kg IV in peds) OR metronidazole 500 mg IV + ciprofloxacin 400 mg IV Other things to consider in special populations in right [foamcast.org]

Ectopic Pregnancy

Some more signs that indicate the risks of ectopic pregnancy are, increased HCG levels, pelvic pain, vaginal bleeding, sharp lower abdominal pain, adnexal tenderness, and [medicoverfertility.com]

Since, most of the symptoms are almost like normal pregnancy symptoms, if you feel that something is not right with your pregnancy, do not ignore your guts and consult a doctor [medicoverfertility.com]

Pelvic Abscess

Unilateral adnexal tenderness or fullness may suggest the presence of a tuboovarian abscess, while right upper quadrant tenderness may suggest Fitz-Hugh-Curtis syndrome where [saem.org]

On pelvic examination, there may be uterine or adnexal tenderness, or a fluctuant mass palpable, depending on the location of the abscess. [ommegaonline.org]

The most common physical exam findings are bilateral adnexal tenderness and purulent cervical discharge. [saem.org]

Endometriosis

Endometriosis Overview Endometriosis is the development of uterine-lining tissue outside the uterus. Symptoms may include abdominal pain, heavy periods, and infertility. Treatment options include pain relievers, hormones, and surgery. [webmd.com]

Retrocecal Appendicitis

Abstract The plain radiographic findings encountered in 21 patients with acute retrocecal appendicitis were analyzed. In descending order of frequency, the following changes were noted: (a) edema infiltration of properitoneal fat; (b) mass between properitoneal fat and ascending colon; (c) a coprolith above the[…] [ncbi.nlm.nih.gov]

Metastatic Ovarian Carcinoma

A rare case of metastatic ovarian carcinoma arising from intrahepatic cholangiocarcinoma is reported and the literature reviewed. A 49-year-old woman presented with ascites and a left pelvic mass. Optimal debulking surgery was carried out including a segmental resection of segment 5/6 of the liver. Histopathology[…] [ncbi.nlm.nih.gov]

Ovarian Clear Cell Neoplasm

Organism: Homo sapiens, human / Tissue: ovary / Disease: clear cell carcinoma Organism Homo sapiens, human Tissue ovary Product Format frozen Morphology fibroblast Culture Properties adherent Biosafety Level 1 Biosafety classification is based on U.S. Public Health Service Guidelines, it is the responsibility of the[…] [atcc.org]

Ovarian Adenoma

We report a case of hematometra and bilateral hematosalphinx in a 15-year-old mentally handicapped adolescent girl, complicated by vaginal agenesis over cervical atresia in the presence of an ovarian adenoma. The case was managed by abdominal hysterectomy and bilateral salphingectomy of the hematosalphinx, which[…] [ncbi.nlm.nih.gov]

Appendiceal Abscess

The defect of an appendiceal abscess on a barium enema is most often seen on the medial aspect of the cecum. However, the site of involvement may vary depending on the location of the appendix. This paper illustrates some of the unusual radiographic findings that were found on barium enemas in six pediatric[…] [ncbi.nlm.nih.gov]

Cecal Adenocarcinoma

A 23-year-old male presented with occult gastrointestinal bleeding and iron deficiency anemia. A Tc-99m pertechnetate abdominal scan was positive and surgery revealed an adenocarcinoma of the cecum. No Meckel's diverticulum was identified. This is the first reported association of an abnormal Tc-99m pertechnetate[…] [ncbi.nlm.nih.gov]

Neoplasm of the Ovary

[…] encyclopedia of medical concepts ψ ψ ψ ψ ψ More information in Books or on Definition : Tumors or cancer of the OVARY. These neoplasms can be benign or malignant. They are classified according to the tissue of origin, such as the surface EPITHELIUM, the stromal endocrine cells, and the totipotent GERM CELLS.[…] [reference.md]

Endometrioma

We present a rare case of an endometrioma present within and firmly adherent to the broad ligament in a patient who experienced an episode of acute abdominal pain. The endometrioma was excised laparoscopically and the broad ligament repaired. [ncbi.nlm.nih.gov]

Adenocarcinoma of the Ovary

OBJECTIVE: The aim of this study was to assess the importance of appendectomy during surgery for mucinous ovarian cancer. It can be difficult to distinguish between primary ovarian and primary appendiceal cancers clinically, histologically, and immunohistochemically. Removal of the appendix may facilitate differential[…] [ncbi.nlm.nih.gov]

Perforated Appendix

Malignancies of the appendix are uncommon; a small subset of these lesions are actually metastatic cancers. In some rare cases, these lesions can cause obstruction, appendicitis, and perforation. M.K. is a 54-year-old man who presented to our institution with a 1-day history of right lower quadrant pain and a past[…] [ncbi.nlm.nih.gov]

Adenocarcinoma of the Appendix

We present a rare case of vesico-appendiceal fistula secondary to mucinous adenocarcinoma of the appendix. Transurethral biopsy of the bladder revealed a mucinous adenocarcinoma of probable colonic origin. Adenocarcinoma of the appendix that directly invaded the bladder was diagnosed preoperatively by[…] [ncbi.nlm.nih.gov]

Pelvic Actinomycosis

Actinomycosis is an uncommon, chronic, granulomatous disease caused by several species of the genus Actinomyces, a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Actinomycosis can be mistaken for malignant tumors, and in most cases the diagnosis is delayed or missed entirely until[…] [ncbi.nlm.nih.gov]

Fitz-Hugh-Curtis Syndrome

Suprapubic tenderness, right adnexal tenderness, minimal vaginal bleeding, and a thin malodorous vaginal discharge were noted. [patientcareonline.com]

Cervical motion and adnexal tenderness may suggest underlying pelvic inflammatory disease.2,3 Diagnosis of this syndrome can be challenging because of its similar presentation [elsevier.es]

Unilateral adnexal tenderness or fullness may suggest the presence of a tuboovarian abscess, while right upper quadrant tenderness may suggest Fitz-Hugh-Curtis syndrome where [cdemcurriculum.com]

Pelvic Adhesions

Physical examination predictors associated with the presence of adhesions were uterine immobility, a right adnexal mass and right adnexal tenderness. [ncbi.nlm.nih.gov]

Ruptured Ectopic Pregnancy

Right adnexal tenderness was noted on physical examination. [nejm.org]

Ovarian Pregnancy

On bimanual examination, the uterus was of normal size, and there was an approximate four-cm tender right adnexal mass. [ncbi.nlm.nih.gov]

Pelvic examination revealed a tender right adnexal mass. Serum -hCG was 1.634 mIU/ml. [termedia.pl]

On examination she was tender in the right adnexae. Her urine pregnancy test was positive and βHCG value was 1862. [ncbi.nlm.nih.gov]

Cellular Leiomyoma

She had diffuse and rebound tenderness, particularly in the right lower quadrant. [spandidos-publications.com]

Gynecological examination revealed a mass in the right adnexal region with a normal-sized mobile uterus. [spandidos-publications.com]

Hydrosalpinx

Vaginal examination revealed a right adnexal tender mass and ultrasound revealed a well circumscribed right adnexal cystic mass. [ncbi.nlm.nih.gov]

Definitive diagnosis is always made at surgical exploration performed for suspected adnexal torsion and salpingectomy is performed in the majority of cases. [ncbi.nlm.nih.gov]

Salpingitis

Patients with PID may have lower abdominal pain, chills and fever, menstrual disturbances, purulent cervical discharge, and cervical and adnexal tenderness. [accessmedicine.mhmedical.com]

tenderness. [health.am]

Abdominal, Cervical motion, adnexal tenderness 2. Vaginal discharge 3. Fever 4. Pelvic mass on physical exam/ultrasound Fitz-Hugh and Curtis syndrome? [brainscape.com]

Pyosalpinx

Right adnexal tenderness, fever, leukocytosis 39.  Chronic infection by Actinomyces israelii  Opportunistic pathogen: normally present in oral cavity or colon  Gynecological [slideshare.net]

A gynecological examination revealed an enlarged and tender uterus. Due to the pain, adnexal palpation was not performed, but tenderness was assumed. [cureus.com]

Fig. 9.2 Tubo-ovarian mass. ( a ) Right adnexa shows the right ovary inferiorly and a complex elongated tubal mass ( arrow ) superiorly. ( b ) Left adnexal mass showing the [obgynkey.com]

Chlamydial Pelvic Inflammatory Disease

bimanual exam (to assess cervical motion, adnexal tenderness and pelvic masses), as well as microscopic evaluation of a cervicovaginal discharge sample. [news-medical.net]

The most common physical exam findings are bilateral adnexal tenderness and purulent cervical discharge. [cdemcurriculum.com]

Abdominal Visceral Abscess

right adnexal tender mass, signs of blood loss and shock 7) increased tympany over cecal area; relief with passage of flatus 8) alternating diarrhea and constipation, small [research.ece.ncsu.edu]

On pelvic examination, there may be uterine or adnexal tenderness, or a fluctuant mass palpable, depending on the location of the abscess. [ommegaonline.org]

On pelvic exam - thickening and marked tenderness of adnexae. 5) chronic course with weight loss, fever, intermittent bouts of pain and diarrhea 6) missed menstrual period [research.ece.ncsu.edu]

Female Pelvic Inflammatory Disease

tenderness. [health.am]

Right upper quadrant pain (Fitz-Hugh and Curtis syndrome) may indicate an associated perihepatitis. [health.am]