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10.22543/7674.91.P162167
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Pain Management in the Right Iliac Fossa During the COVID-19 Pandemic

by
Daniel Ovidiu Costea
1,
Lucian Serbanescu
1,*,
Diana Badiu
1,
Valeriu Ardeleanu
1,2,
Cristian Mihai Branescu
3,
Anca Zgura
4,5 and
Andreea Cristina Costea
6
1
Faculty of General Medicine, Ovidius University of Constanta, Blvd. Mamaia 124, 900527 Constanta, Romania
2
Arestetic Clinic, Hospital of CFR, Dunărea de Jos University, Galati, Romania
3
Fourth Department of General Surgery, Emergency University Hospital Bucharest, Bucharest, Romania
4
Department of Oncology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
5
Department of Oncology-Radiotherapy, Prof. Dr. Alexandru Trestioreanu Institute of Oncology, Bucharest, Romania
6
Diaverum Nephrology and Dialysis Clinic, Constanta, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2022, 9(1), 162-167; https://doi.org/10.22543/7674.91.P162167
Submission received: 14 December 2021 / Revised: 15 December 2021 / Accepted: 26 February 2022 / Published: 10 April 2022

Abstract

Abdominal pain in the right iliac fossa in women may be caused by a complicated ovarian cyst, adnexitis, and appendicitis. The paper analyses the characteristics of patients with right iliac fossa pain admitted during the Covid-19 pandemic. A retrospective analysis on 25 cases with abdominal pain in the right iliac fossa admitted to “St. Apostol Andrei” Emergency County Clinical Hospital Constanta, Romania between March 2020 and March 2021 was performed. In 52% of the cases, the symptomatology remitted with antispasmodics, 4 (16%) patients had cystic torsion and right adnexectomy (group A, without adnexa), 6 (24%) patients had ruptured cysts and right cystectomy, and 2 (8%) had immediate cystectomy together with appendectomy due to signs of peritoneal irritation (group B, adnexa retained). The age, the signs and the symptoms, as well as the inpatient diagnosis in group A were lower compared to patients in group B. The ovarian cyst can become a major surgical emergency if twisted or ruptured and it reaches an important vascular source, especially if it is associated with acute appendicitis, which often poses problems of differential diagnosis. The collaboration between gynecologists and surgeons is essential in the optimal therapeutic solution of these cases.
Keywords: ovarian cyst; torsion; cystectomy; adnexectomy; appendicectomy ovarian cyst; torsion; cystectomy; adnexectomy; appendicectomy

Share and Cite

MDPI and ACS Style

Costea, D.O.; Serbanescu, L.; Badiu, D.; Ardeleanu, V.; Branescu, C.M.; Zgura, A.; Costea, A.C. Pain Management in the Right Iliac Fossa During the COVID-19 Pandemic. J. Mind Med. Sci. 2022, 9, 162-167. https://doi.org/10.22543/7674.91.P162167

AMA Style

Costea DO, Serbanescu L, Badiu D, Ardeleanu V, Branescu CM, Zgura A, Costea AC. Pain Management in the Right Iliac Fossa During the COVID-19 Pandemic. Journal of Mind and Medical Sciences. 2022; 9(1):162-167. https://doi.org/10.22543/7674.91.P162167

Chicago/Turabian Style

Costea, Daniel Ovidiu, Lucian Serbanescu, Diana Badiu, Valeriu Ardeleanu, Cristian Mihai Branescu, Anca Zgura, and Andreea Cristina Costea. 2022. "Pain Management in the Right Iliac Fossa During the COVID-19 Pandemic" Journal of Mind and Medical Sciences 9, no. 1: 162-167. https://doi.org/10.22543/7674.91.P162167

APA Style

Costea, D. O., Serbanescu, L., Badiu, D., Ardeleanu, V., Branescu, C. M., Zgura, A., & Costea, A. C. (2022). Pain Management in the Right Iliac Fossa During the COVID-19 Pandemic. Journal of Mind and Medical Sciences, 9(1), 162-167. https://doi.org/10.22543/7674.91.P162167

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