Acute appendicitis - detected on transvaginal ultrasound
PH ruptured ovarian cyst. Severe right lower abdominal pain
Transabdominal US of pelvis including RIF normal, therefore transvaginal imaging performed
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Despite this being a transvaginal examination, appearances are all consistent with acute appendictis. Differential diagnosis is acute salpingitis but tubular structure is blind ending and not associated with the ovary