Acute Abdominal Pain of Female Genital Origin: Diagnosis and Management

Differential Diagnosis of Pelvic Appendicitis and Acute Conditions of Uterine Appendages

“…Cervical tenderness (tenderness on dislocation of the cervix) is usual in acute conditions in the internal genital organs and is considered by some to be a reliable differential-diagnostic counterindication of appendicitis (THALER 1922, v. WEIDENBACH 195 I , HANSEN 1952, KLINGENSMITH 1952. This is not correct, however; in BOYCE'S material (1949) cervical tenderness was present in of appendicitis with perforation there was cervical tenderness in 1 5 per cent of the cases in the 15-50 years age group.…”