This document summarizes the case of a 46-year-old woman presenting with lower abdominal pain and yellow, smelly vaginal discharge. Clinical examination and imaging found no signs of appendicitis but did reveal a follicular cyst on her left ovary. She was diagnosed with bacterial vaginosis, the most common cause of vaginal discharge. Bacterial vaginosis increases risks of preterm delivery in pregnancy and HIV/STD transmission. She was treated with antibiotics and discharged after her pain improved.