What are the symptoms of appendicitis vs ovarian cyst? 

answered:

Onset of pain.

Ovarian_cyst
On physical examination, it is often very difficult to distinguish a ruptured right ovarian cyst from appendicitis; 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.
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Appendicitis Abdomen Pain Lower abdomen Cyst Ovarian cyst Abdominal pain Rupture Female health

Might be hard to tel

Pelvis
Ovarian cysts if unruptured usually cause no symptoms. When they rupture, their presentation may be essentially indistinguishable from that of appendicitis - lower abdominal pain (may be right or left or bilateral). There may be fever, nausea/vomiting present. Ultrasound and/or CT abdomen/pelvis usually helps differentiating between the two.
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Abdominal pain Fever Nausea Vomiting Appendicitis Asymptomatic Pelvis Sonogram Belly pain Repeat ultrasound