How to distinguish between pelvic inflammatory disease and appendicitis?

Patient's question:

My lower right abdomen hurts a little, not often, but sometimes. However, I don't have symptoms like lower back pain or increased vaginal discharge with a bad odor. I went to the hospital for a gynecological ultrasound, and they said there is a bit of inflammation in the pelvis. I want to ask the doctor, could it possibly be appendicitis?

Doctor's answer:

The difference between pelvic inflammatory disease and appendicitis is significant. In appendicitis, blood tests show a moderate decrease in white blood cell count, which is the body's response to infection. In the early stages of appendicitis, most diagnostic tests, including X-ray examinations, ultrasound scans, and CT scans, are not very helpful in confirming the diagnosis. Typically, doctors make the diagnosis based on physical examination findings. To prevent the appendix from rupturing, the formation of an abscess, or the occurrence of peritonitis, surgical treatment should be immediately initiated once appendicitis is confirmed.

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