Onset of pain.
On physical examination, it is often very difficult to distinguish a ruptured right ovarian cyst
; however, with a ruptured cyst, the onset of the pain is typically "hyperacute", whereas, with appendicitis the pain often begins like a typical "stomach ache" in the upper or mid abdomen before "moving" to the right lower abdomen.
...Do you have a follow-up question? Consult Dr. Rosen, a General Surgeon with 28 years in practice: