Template:Pelvic pain DDX

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

• Pregnancy-related
  • Ectopic Pregnancy
  • Spontaneous abortion, threatened or incomplete
  • Septic abortion
• Acute Infections
  • Endometritis
  • Cervicitis
  • Pelvic inflammatory disease (PID)
  • Tubo-ovarian abscess
• Vulvovaginitis
  • Bacterial Vaginosis
  • Candida Vaginitis
  • Trichomonas
  • Contact Vulvovaginitis
  • Atrophic vaginitis
• Adnexal Disorders
  • Hemorrhage/rupture of ovarian cyst
  • Ovarian torsion
  • Twisted paraovarian cyst
• Recurrent
  • Mittelschmerz
  • Primary/Secondary Dysmenorrhea
  • Pelvic Congestion Syndrome
  • Endometriosis

Genitourinary

• Cystitis
• Pyelonephritis
• Urolithiasis

Gastrointestinal

• Gastroenteritis
• Appendicitis
• Bowel obstruction
• Perirectal abscess
• Diverticulitis
• Inflammatory bowel disease
• Irritable Bowel Syndrome (IBS)

Musculoskeletal

• Abdominal wall hematoma
• Psoas hematoma, psoas abscess
• Hernia

Vascular

• Pelvic thrombophlebitis
• Abdominal Aortic Aneurysm (AAA)
• Ischemic bowel (Mesenteric Ischemia)

Pelvic origin

• Myoma (degenerating)

• Sexual assault/trauma
• Ovarian hyperstimulation syndrome
• Vaginitis (e.g. trichomoniasis, candidiasis)
• Urethritis (e.g. N. gonorrhoeae/Chlamydia)

Abdominal origin

• Psoas abscess
• Mesenteric adenitis
• Incarcerated hernia