3. Abdominal pain in gynaecology Flashcards
What are the pregnancy-related causes of abdominal pain in gynecology?
- Ectopic pregnancy
- Miscarriage and complications
- Rarely, Gestational Trophoblastic Disease
What are the categories of non-pregnancy-related abdominal pain in gynecology?
Gynecological
Non-Gynecologica
What are the gynecological causes of non-pregnancy-related abdominal pain?
- congenital
- traumatic
- functional ovarian cysts
- infective
- endometriosis
- neoplastic
Congenital causes of non- pregnancy related abdominal pain
Haematocolpos (Outflow tract obstructions)
Traumatic causes of non- pregnancy related abdominal pain
Coital injuries, iatrogenic (complications of surgical procedures), IUCD-related dysmenorrhea or secondary to displacement.
Functional ovarian cysts causes of non- pregnancy related abdominal pain
Complications such as torsion, hemorrhage, rupture.
Infective causes of non- pregnancy related abdominal pain
Pelvic Inflammatory Disease (acute or chronic, primary or secondary).
causes of non- pregnancy related abdominal pain endometriosis
Dysmenorrhea, pelvic pain with wide-ranging presentations.
What are the neoplastic causes of abdominal pain in gynecology?
Benign or malignant ovarian tumors: Compression, torsion, rupture, advanced malignancy.
Fallopian tube cancer (rare).
Fibroids of the uterus, which are usually asymptomatic unless:
- Red degeneration during pregnancy.
- Pedunculated subserous fibroid causing torsion.
-Submucous fibroid causing heavy bleeding.
- Compression effects or obstruction of the urethra with overflow incontinence.
What are the medical non-gynecological causes of abdominal pain?
Porphyria
Diabetic ketoacidosis
Lower lobe pneumonia
Urinary Tract Infection
Pyelonephritis
Irritable Bowel Syndrome
What are the surgical non-gynecological causes of abdominal pain?
Appendicitis
Diverticulitis
Mesenteric thrombosis
Volvulus
Perforation of bowel from a foreign object
