Prepubertal pelvic pain

Background

Pelvic anatomy.

Differential Diagnosis

Gynecologic

• Trauma
  • Laceration
  • Hematoma
  • Sexual abuse
• Vaginal foreign body
• Vaginal infection
  • Candida Vaginitis
• Contact Vulvovaginitis
• Outflow-tract obstruction
  • Imperforate hymen
  • Labial adhesions
  • Congenital abnormalities

Gastrointestinal

• Appendicitis
• Gastroenteritis
• Bowel obstruction
• Constipation
• Volvulus

Musculoskeletal

• Muscle tendon injury
• Growth-plate injury
• Ligamentous injury
• Avulsion fracture
• Inguinal hernia
• Intervertebral disc herniation

Urologic

• Nephrolithiasis
• Cystitis
• Pyelonephritis
• Urethritis

Other

• Diabetic ketoacidosis
• Sickle cell crisis
• Neoplasms

See Also

• Pelvic Pain

References

Hardwood-Nuss