Pelvic pain

Background

Pelvic anatomy.

Differential Diagnosis

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

• Pregnancy-related
  • Ectopic Pregnancy
  • Abortion, threatened or incomplete
  • Septic abortion
• Acute Infections
  • Endometritis
  • Pelvic Inflammatory Disease (PID)
  • TOA
• Adnexal Disorders
  • Hemorrhage/rupture of ovarian cyst
  • Ovarian torsion
  • Twisted paraovarian cyst
• Recurrent
  • Mittelschmerz (midcycle pain)
  • Primary/Secondary Dysmenorrhea
  • Pelvic Congestion Syndrome
  • Endometriosis
• Vulvovaginitis
  • Bacterial Vaginosis
  • Candida Vaginitis
  • Trichomonas
  • Contact Vulvovaginitis
  • Atrophic vaginitis

Genitourinary

• Cystitis
• Pyelonephritis
• Ureteral lithiasis

Gastrointestinal

• Gastroenteritis
• Appendicitis
• Bowel obstruction
• Perirectal abscess
• Diverticulitis
• Inflammatory bowel disease
• Irritable Bowel Syndrome (IBS)

Musculoskeletal

• Abdominal wall hematoma
• Psoas hematoma, psoas abscess
• Hernia

Vascular

• Pelvic thrombophlebitis
• Abdominal Aortic Aneurysm (AAA)
• Ischemic bowel (Mesenteric Ischemia)

Postmenopausal Pelvic Pain

Gynecologic

• Vulvovaginitis
  • Atrophic vaginitis
  • Infectious (STI)
  • Allergic
• Uterine prolapse
  • Cystocele
  • Rectocele
  • Enterocele
  • Uterine/Vaginal Vault Prolapse
• Cervical polyps
• Uterine fibroids
• Endometrial hyperplasia
• Neoplasm
  • Uterine
  • Ovarian

Gastrointestinal

• Rectocele
• Diverticulitis
• Neoplasm
• Appendicitis
• Ischemic Bowel (Mesenteric Ischemia)

Urologic

• Infection
  • Cystitis
  • Urethritis
  • Pyelonephritis
• Cystourethrocele

Prepubescent-Urethral prolapse

Urologic

• Sarcoma botryoides

See Also

• Prepubertal Pelvic Pain
• Abdominal Pain

External Links

• DDxOf: Differential Diagnosis of Acute Pelvic Pain

References

• Hardwood-Nuss