Acute Pelvic Pain

Question 1

In a woman presenting with acute pelvic pain, how might you structure the way you think about causes?

Answer 1

• Gynaecologic - PID, cyst event, endometriosis, fibroid event, dysmenorrhoea
• Obstetric - ectopic, labour, uterine rupture, abruption, endometritis, ovarian vein thrombosis, symphysis diastasis
• Other causes - appendicitis, cystitis, diverticulitis, urinary calculi, porphyria, mesenteric ischaemia