Abdo pain in gynae

Question 1

What are the pregnancy-related causes of abdominal pain in gynecology?

Answer 1

Ectopic pregnancy, Miscarriage (with or without complications), Gestational Trophoblastic Disease (rare)

Question 2

What are the congenital and traumatic causes of gynecological abdominal pain?

Answer 2

Congenital: Haematocolpos, Other outflow tract obstructions

Traumatic: Coital injuries, Iatrogenic (complications of surgical procedures), IUCD-related (dysmenorrhea or pain due to displacement)

Question 3

What complications can arise from functional ovarian cysts?

Answer 3

Three main complications: Torsion, Hemorrhage, Rupture

Question 4

What are the infective and endometriosis-related causes of gynecological pain?

Answer 4

Infective: Pelvic Inflammatory Disease (PID) - Can be acute or chronic, Can be primary or secondary

Endometriosis: Can cause dysmenorrhea, Can cause pelvic pain, Has a wide range of possible presentations

Question 5

What are the neoplastic causes of gynecological abdominal pain?

Answer 5

Ovarian tumors causing pain through: Compression, Torsion, Rupture, Advanced malignancy

Fallopian tube cancer (very rare)

Fibroids of the uterus - usually asymptomatic unless complicated by: Torsion of pedunculated subserosal fibroid, Red degeneration during pregnancy, Prolapse of submucous fibroid, Compression effects, Obstruction of urethra with overflow incontinence, Malignant change

Question 6

What are the medical causes of abdominal pain that can mimic gynecological conditions?

Answer 6

Porphyria, Diabetic ketoacidosis, Lower lobe pneumonia, Urinary Tract Infection, Pyelonephritis, Irritable Bowel Syndrome

Question 7

What are the surgical causes of abdominal pain that can mimic gynecological conditions?

Answer 7

Appendicitis, Diverticulitis, Mesenteric thrombosis, Volvulus, Perforation of bowel from foreign object