Prepubertal pelvic pain

Differential Diagnosis

Gynecologic

1. Trauma
   1. Laceration
   2. Hematoma
   3. Sexual Abuse
2. Vaginal foreign body
3. Vaginal infection
   1. Candida Vaginitis
4. Contact Vulvovaginitis
5. Outflow-tract obstruction
   1. Imperforate hymen
   2. Labial adhesions
   3. Congenital abnormalities

Gastrointestinal

1. Appendicitis
2. Gastroenteritis
3. Obstruction
4. Constipation
5. Volvulus

Musculoskeletal

1. Muscle tendon injury
2. Growth-plate injury
3. Ligamentous injury
4. Avulsion fracture
5. Inguinal hernia
6. Intervertebral disc herniation

Urologic

1. Nephrolithiasis
2. Cystitis
3. Pyelonephritis
4. Urethritis

Other

1. Diabetic ketoacidosis
2. Sickle cell crisis
3. Neoplasms

See Also

• Pelvic Pain

Source

Hardwood-Nuss