This is the pain associated with ovulation - for many years it was thought to be post-ovulatory but recently it has been demonstrated as a pre-ovulatory finding. It may cause right iliac fossa pain. Characteristically, the pain occurs at the mid-point of the menstrual cycle and often there is a history of recurrent right abdominal pain.
This physiological condition may present similarly to acute appendicitis and always should be included in the differential of appendicitis if presentation is in a menstruating female. Features that help to discriminate it include:
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.