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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Causes of acute pelvic pain in adult females by organ system

Causes of acute pelvic pain in adult females by organ system
Reproductive tract
Gynecologic: Infectious
  • Pelvic inflammatory disease
  • Endometritis
  • Salpingitis
  • Tubo-ovarian abscess
Gynecologic: Noninfectious
  • Dysmenorrhea
  • Ovarian cyst (ruptured or intact)
  • Endometriosis
  • Uterine leiomyoma (fibroid): Degenerating or not
  • Adenomyosis
  • Mittelschmerz (midcycle ovulatory pain)
  • Adnexal torsion (ovary and/or fallopian tube)
  • Ovarian hyperstimulation syndrome
  • Endosalpingiosis
  • Uterine perforation (in women who have undergone a uterine procedure)
  • Asherman's syndrome
  • Neoplasm
Pregnancy-related
First trimester
  • Threatened abortion
  • Ectopic pregnancy, including heterotopic pregnancy
  • Corpus luteum hematoma
  • Incomplete abortion
  • Septic abortion
  • Uterine impaction
Second and third trimesters
  • Preterm labor
  • Chorioamnionitis
  • Placental abruption
  • Degenerating uterine leiomyoma (fibroid)
  • Medical complications during pregnancy, such as appendicitis
  • Round ligament stretch
Postpartum
  • Endometritis
  • Wound infection (cesarean section, laceration, or episiotomy repair)
  • Ovarian vein thrombosis or septic pelvic thrombophlebitis
Gastrointestinal
Appendicitis
Irritable bowel syndrome
Diverticulitis
Inflammatory bowel disease
Fecal impaction or constipation
Gastroenteritis
Mesenteric lymphadenitis
Abdominopelvic adhesions
Perforated viscus
Bowel obstruction
Incarcerated or strangulated hernia
Ischemic bowel
Hirschsprung disease[1]
Intussusception[2]
Meckel's diverticulum[3]
Volvulus[4]
Urinary tract
Cystitis
Pyelonephritis
Painful bladder syndrome
Kidney stones
Urinary retention
Malignancy (bladder cancer)
Vascular
Abdominal aortic aneurysm and dissection
Sickle cell disease crisis
Septic pelvic thrombophlebitis
Ovarian vein thrombosis
Pelvic congestion syndrome
Musculoskeletal
Muscular strain or sprain
Abdominal wall hematoma or infection
Hernia (inguinal or femoral)
Pelvic fracture
Myofascial pain
Neurologic
Herpes zoster
Anterior cutaneous nerve entrapment syndrome
Abdominal epilepsy[5]
Abdominal migraine[6]
Psychiatric
Depression
Somatization disorder
Narcotic seeking
Sexual and interpersonal
Domestic violence
Sexual abuse
Other
Familial Mediterranean Fever
Porphyria[7]
Lead poisoning
TNF receptor-associated periodic syndrome (ie, TRAPS)
This table presents common etiologies but is not meant to be exhaustive.
TNF: tumor necrosis factor; TRAPS: tumor necrosis factor receptor-associated periodic syndrome.
References:
  1. Qiu JF, Shi YJ, Hu L, et al. Adult Hirschsprung's disease: report of four cases. Int J Clin Exp Pathol 2013; 6:1624.
  2. Lu T. Adult Intussusception. Perm J 2015; 19:79.
  3. Dumper J, Mackenzie S, Mitchell P, et al. Complications of Meckel's diverticula in adults. Can J Surg 2006; 49:353.
  4. Li X, Zhang J, Li B, et al. Diagnosis, treatment and prognosis of small bowel volvulus in adults: A monocentric summary of a rare small intestinal obstruction. PLoS One 2017; 12:e0175866.
  5. Harshe DG, Harshe SN, Harshe GR, Harshe GG. Abdominal Epilepsy in an Adult: A Diagnosis Often Missed. J Clin Diagn Res 2016; 10:VD01.
  6. Kunishi Y, Iwata Y, Ota M, et al. Abdominal Migraine in a Middle-aged Woman. Intern Med 2016; 55:2793.
  7. Klobucic M, Sklebar D, Ivanac R, et al. Differential diagnosis of acute abdominal pain - acute intermittent porphyria. Med Glas (Zenica) 2011; 8:298.

Adapted from: Lipsky AM, Hart D. Acute pelvic pain. In: Rosen's Emergency Medicine: Concepts and Clinical Practice, 9th ed, Walls RM, Hockberger RS, Gausche M, et al (Eds), Elsevier, Philadelphia 2018.

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