Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis, IBD)
• Musculoskeletal
Pelvic Extrauterine:
• Ectopic pregnancy*
Pelvic Intrauterine:
• Placental abruption**
• Spontaneous abortion
• Labour
• Molar pregnancy
Uterus:
• Fibroid
• Endometriosis
• Adenomyosis
• Pyometrium
• Hematometra
• Congenital Anomaly
• Dysmenorrhea
Ovary:
• Tubo-ovarian abscess**
• Torsion* *
• Ovarian cyst
• Endometriosis
• Ovulation pain
Fallopian Tube:
• Tubo-ovarian abscess* *
• Pelvic inflammatory disease
• Torsion
• Endometriosis
• Hydrosalpinx
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