Differential Diagnosis for 71 year old female with pain in L groin near ovary
- Single most likely diagnosis
- Ovarian cyst: Given the patient's age and the location of the pain, an ovarian cyst is a common and likely cause. Ovarian cysts can cause pain due to rupture, torsion, or hemorrhage.
- Other Likely diagnoses
- Diverticulitis: Although the pain is localized near the ovary, diverticulitis can cause lower abdominal pain that may radiate to the groin area.
- Urinary tract infection or kidney stone: These conditions can cause severe pain that may be referred to the groin area.
- Hernia: An inguinal hernia can cause pain in the groin area, especially if it becomes incarcerated or strangulated.
- Do Not Miss diagnoses
- Ovarian torsion: This is a surgical emergency that requires prompt attention. It can cause severe pain and may lead to ovarian necrosis if not treated promptly.
- Ectopic pregnancy: Although less likely in a 71-year-old female, it is still a possibility, especially if she is still menstruating or has undergone fertility treatment.
- Appendicitis: Although the pain is localized to the left groin, appendicitis can cause pain that may be referred to this area, especially if the appendix is retrocecal.
- Rare diagnoses
- Ovarian cancer: Although ovarian cancer can cause pain, it is often asymptomatic in its early stages. However, it is still a possibility, especially in postmenopausal women.
- Endometriosis: This condition is less common in postmenopausal women but can still cause pain if there are residual endometrial implants.
- Pelvic inflammatory disease: This condition is less common in postmenopausal women but can still occur, especially if there is a history of sexually transmitted infections.