Template:Pelvic pain DDX: Difference between revisions

Latest revision as of 17:23, 29 October 2025

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

Normal variants may be noted on exam but generally do not cause pain or other symptoms
- Nabothian cysts: Epithelial cells within mucous glans that appear as yellow inclusions on the cervix
- Cervical Ectropion: Edothelial cells on the exterior of the cervix
- Parous cervix: The is no longer round but may have multiple shapes after birth
Pregnancy-related
- Ectopic pregnancy
- Spontaneous abortion, threatened or incomplete
- Septic abortion
Pelvic organ prolapse
Acute Infections
Vulvovaginitis
Adnexal Disorders
- Hemorrhage/rupture of ovarian cyst
- Ovarian torsion
- Twisted paraovarian cyst
Other
- Myoma (degenerating)
- Genitourinary trauma
- Ovarian hyperstimulation syndrome
- Sexual assault
Recurrent
- Mittelschmerz
- Primary/Secondary Dysmenorrhea
- Pelvic Congestion Syndrome
- Endometriosis

Genitourinary

Cystitis
Pyelonephritis
Urethritis (e.g. N. gonorrhoeae/Chlamydia)^[1]
Urolithiasis

Gastrointestinal

Musculoskeletal

Abdominal wall hematoma
Psoas hematoma, psoas abscess
Hernia

Vascular

↑ Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.

[1] Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.

[1]

@@ Line 1: / Line 1: @@
-===[[Pelvic pain|Pelvic Pain]]===
+===[[Pelvic pain|Acute Pelvic Pain]]===
-'''Pelvic origin'''
+[[File:Pelvic Pain.png |thumb|Differential diagnosis of acute pelvic pain]]
-*[[Urinary tract infection]]
+====Gynecologic/Obstetric====
-*[[Ectopic]]
+*Normal variants may be noted on exam but generally do not cause pain or other symptoms
-*[[Ovarian torsion]]
+**Nabothian cysts: Epithelial cells within mucous glans that appear as yellow inclusions on the cervix
-*[[Endometriosis]]
+**Cervical Ectropion: Edothelial cells on the exterior of the cervix
-*[[Pelvic inflammatory disease]]
+**Parous cervix: The is no longer round but may have multiple shapes after birth
-*[[Cervicitis]]
+*Pregnancy-related
-*[[Ectopic pregnancy]]
+**[[Ectopic pregnancy]]
-*[[Ovarian torsion]]
+**[[Spontaneous abortion]], threatened or incomplete
-*[[Spontaneous abortion]]
+**[[Septic abortion]]
-*[[Septic abortion]]
+* Pelvic organ prolapse
-*Myoma (degenerating)
+*Acute Infections
-*[[Ovarian cyst]] (rupture)
+**[[Herpes]]
-*[[Tubo-ovarian abscess]]
+**[[Cervicitis]]
-*[[Mittelschmerz]]
+**[[Endometritis]]
-*[[Sexual assault]]/trauma
+**[[Bartholin gland abscess]]
-*[[Ovarian hyperstimulation syndrome]]
+**[[Pelvic inflammatory disease]] (PID)
+**[[Tubo-ovarian abscess]]
+*[[Vulvovaginitis]]
+**[[Bacterial Vaginosis]]
+**[[Candida Vaginitis]]
+**[[Trichomonas]]
+**[[Contact Vulvovaginitis]]
+**[[Atrophic vaginitis]]
+*Adnexal Disorders
+**Hemorrhage/rupture of [[ovarian cyst]]
+**[[Ovarian torsion]]
+**Twisted paraovarian cyst
+*Other
+**Myoma (degenerating)
+**[[Genitourinary trauma]]
+**[[Ovarian hyperstimulation syndrome]]
+**[[Sexual assault]]
+*Recurrent
+**[[Mittelschmerz]]
+**Primary/Secondary Dysmenorrhea
+**Pelvic Congestion Syndrome
+**[[Endometriosis]]
-'''Abdominal origin'''
+====Genitourinary====
+*[[Cystitis]]
+*[[Pyelonephritis]]
+*[[Urethritis]] (e.g. [[N. gonorrhoeae]]/[[Chlamydia]])<ref>Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.</ref>
+*[[Urolithiasis]]
+====Gastrointestinal====
+*[[Gastroenteritis]]
 *[[Appendicitis]]
-*[[Kidney stone]]
+*[[Bowel Obstruction|Bowel obstruction]]
-*[[Psoas abscess]]
+*[[Anorectal Abscess|Perirectal abscess]]
+*[[Diverticulitis]]
+*[[Inflammatory bowel disease]]
+*[[Irritable bowel syndrome]]
 *[[Mesenteric adenitis]]
-*[[Incarcerated hernia]]
-*[[Diverticulitis]]
+====Musculoskeletal====
-*[[Pyelonephritis]]
+*Abdominal wall hematoma
+*Psoas hematoma, [[psoas abscess]]
+*[[Hernia]]
+====Vascular====
+*Pelvic [[thrombophlebitis]]
+*[[Abdominal aortic aneurysm]]
+*Ischemic bowel ([[Mesenteric Ischemia]])