use of laparoscopy in the management of right iliac fossa pain in women of reproductive age

Laparoscopy has been performed in 38 women presenting with pain in right iliac fossa, but clinical findings were insufficient to establish a definite diagnosis. At laparoscopy, the diagnosis of acute appendicitis was made in 14 patients, gynecological pathology in 18 patients, and 6 women were judged to have no pathologic abnormalities. In conclusion, laparoscopy is safe and useful adjunct in diagnosis and management of women with pain in right iliac fossa of uncertain origin. In addition, it will spare a significant number of patients with the need for laparotomy