Prepubertal pelvic pain

Pelvic Pain Prepubertal DDX

Gynecologic

1. Trauma
   1. Laceration
   2. Hematoma
   3. Sexual Abuse
2. Vaginal foreign body
3. Vaginal infection
4. Vulvar dermatitis
   1. Chemicals (bubble baths)
   2. Poor hygiene
   3. Allergic dermatitis
   4. Parasitic infestation (pinworms)
5. Outflow-tract obstruction
   1. Imperforate hymen
   2. Labial adhesions
   3. Congenital abnormalities

Gastrointestinal

1. Appendicitis
2. Gastroenteritis
3. Obstruction
4. Constipation
5. Volvulus

Musculoskeletal

1. Muscle tendon injury
2. Growth-plate injury
3. Ligamentous injury
4. Avulsion fracture
5. Inguinal hernia
6. Intervertebral disc herniation

Urologic

1. Nephrolithiasis
2. Cystitis
3. Pyelonephritis
4. Urethritis

Other

1. Diabetic ketoacidosis
2. Sickle cell crisis
3. Neoplasms

Source

Hardwood-Nuss

See Also

Pelvic Pain