Acute Pelvic Pain
نویسندگان
چکیده
Pain of sudden onset suggests an acute event, while pain that is more gradual may be seen with subacute or progressive conditions. The differential diagnosis of pain grouped by time of onset is presented in Table 16-4. The location of the pain may also be helpful, although different etiologies can lead to pain in the same region. The uterus, cervix, and adnexae share visceral innervation with the lower ileum, the sigmoid, and rectum (T10 to L1), and pain from any of these structures may be felt in the same place. Diffuse and generalized pain should alert the clinician to the possibility of peritonitis. Although pain quality and severity are nonspecific, they may provide some clue about the etiology. Abrupt and severe pain is typically associated with perforation (ectopic pregnancy), strangulation (ovarian torsion), or hemorrhage (ovarian cysts). Crampy pain is often seen with dysmenorrhea or spontaneous abortion. Colicky introduCtion
منابع مشابه
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Acute Female pelvic pain is one the common causes of referral to emergency ward. It has many ethiologies of either Gynaecological or non gynecological causes including normal ovulation, haemorrhagic/ruptured ovarian cyst, Tumour, infarction (leiomyoma), Ovarian torsion, ectopic pregnancy, Tubo-ovarian abscess/PID, Endometriosis, … etc. It also has non-gynaecological causes such as renal stones,...
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