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Pelvic Pain

Pelvic Discomfort


Presentation

  • A 24-year-old woman presented with noncyclic pelvic pain and irregular menses.[ncbi.nlm.nih.gov]
  • Secondary subfertility, abnormal uterine bleeding and vaginal discharge are the usual presenting complaints. We report a case of prolonged retention of foetal bones for 14 years in a woman who presented with chronic pelvic pain.[ncbi.nlm.nih.gov]
  • CASE REPORT: We report a case of a 40-year-old man presenting with chronic pelvic pain due to pudendal nerve entrapment and successfully treated with palmitoylethanolamide (PEA).[ncbi.nlm.nih.gov]
  • CASE: Because of menorrhagia, the patient had begun an oral contraceptive pill (OCP) 1(1/2) months prior to presentation.[ncbi.nlm.nih.gov]
  • Presently, these cysts are generally considered to be of a benign nature and result from cyclical response to menstrual dynamics. CASE: A 31-year-old, African-American female presented for a second opinion with a chief complaint of pelvic pain.[ncbi.nlm.nih.gov]
Fishing
  • Her course and outcome, aided by use of computed tomography (CT) scan, is described, identifying a 6-cm, mass-like lesion in the right lower quadrant enclosing an ambiguous linear calcified lesion, which on laparotomy revealed a fish bone embedded in[ncbi.nlm.nih.gov]
  • Diet – When the body is suffering from pain a nourishing diet of whole grains, low fat meat and dairy, oily fish, vegetables and fruits and good fats can be beneficial.[womhealth.org.au]
Inguinal Mass
  • This subset may be at higher risk for hernia uterine inguinale, and, if presenting with complaints of pain or inguinal mass, it should likewise be considered in the differential diagnosis. Copyright 2010 AAGL. Published by Elsevier Inc.[ncbi.nlm.nih.gov]
Aspiration
  • The patient's symptoms improved after the transvaginal aspiration, and she no longer required narcotics.[ncbi.nlm.nih.gov]
  • […] and radiologists interpreting examinations from the emergency department should be familiar with these imaging findings because seminal vesicle cysts may be the etiology of pelvic pain and the patient may benefit from urologic consultation and cyst aspiration[ncbi.nlm.nih.gov]
Explosive Diarrhea
  • This 67-year-old Caucasian female presented with progressively severe pelvic pain, intermittent explosive diarrhea, and dysuria. Physical and bimanual examination demonstrated genital prolapse and a nontender, cyst-like mass fixed in the midline.[ncbi.nlm.nih.gov]
Severe Osteoporosis
  • We present the case of a female patient of 66 years old affected by a papillary thyroid carcinoma with a bone metastasis as initial presenting symptom; she was hospitalized for pelvic pain and motor weakness and treated for severe osteoporosis.[ncbi.nlm.nih.gov]

Workup

  • […] pregnancy—a pregnancy implanted outside the uterusAbdominalLoin pain hematuria syndrome Proctitis—infection or inflammation of the anus or rectum Colitis—infection or inflammation of the colon Appendicitis—infection or inflammation of the bowel The diagnostic workup[en.wikipedia.org]
  • (See Presentation, Workup, Treatment, and Medication.)[emedicine.com]

Treatment

  • Their mean pain score fell from 9 prior to treatment to 4.5 at the end of treatment. One patient with infertility conceived immediately after completing the treatment. There were no changes in the hormone levels and bone scan scores.[ncbi.nlm.nih.gov]
  • Preimaging and postimaging clinical diagnosis and treatment, pain levels, and location were recorded. Pain-free survival was compared between treatments using a Cox proportional hazards model.[ncbi.nlm.nih.gov]
  • […] and neurectomy/neurolysis if conservative treatments are ineffective.[ncbi.nlm.nih.gov]
  • SUMMARY: Nonpharmacologic therapies are important adjuncts to surgical and pharmacologic treatment for CPP and should be considered integral to a comprehensive treatment approach.[ncbi.nlm.nih.gov]
  • These pains are often refractory to medical treatment based on the use of systemic molecules with disabling adverse effects and surgical procedure may be necessary.[ncbi.nlm.nih.gov]

Prognosis

  • Abstract Usually differentiated thyroid cancer has a good prognosis and only rarely shows distant metastasis at diagnosis above all the papillary carcinoma.[ncbi.nlm.nih.gov]
  • Endometriosis (Symptoms, Causes, Treatments, and Prognosis) Endometriosis implants are most commonly found on the ovaries, the Fallopian tubes, outer surfaces of the uterus or intestines,...[medicinenet.com]

Etiology

  • Chronic pelvic pain can result from various intra- and extra-pelvic etiologies. Although patient history and physical examination may narrow the differential diagnosis, frequently, the different etiologies have overlapping presentations.[ncbi.nlm.nih.gov]
  • Identifying the etiology of acute pelvic pain in girls is often clinically challenging.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. hellermt@upmc.edu Abstract A seminal vesicle cyst is a rare etiology of pelvic pain.[ncbi.nlm.nih.gov]
  • For the diverse etiologies of hip pain, there are many unique considerations for the diagnosis and treatment of these various disorders.[ncbi.nlm.nih.gov]
  • This review examines the anatomy of the vagina and urethra, the etiology of pain related to mesh use, and the relevant surgical techniques for management of this complication along with their outcomes. Copyright 2017 Elsevier Inc.[ncbi.nlm.nih.gov]

Epidemiology

  • This article explores the etiology, epidemiology, presentation and treatment of common causes of neurogenic pelvic pain, including neuralgia of the border nerves (ilioinguinal, iliohypogastric, and genitofemoral), pudendal neuralgia, clunealgia, sacral[ncbi.nlm.nih.gov]
  • Google Scholar 4 : The epidemiology of interstitial cystitis: is it time to expand our definition?. Urology 2001 ; 57 : 95.[dx.doi.org]
  • In addition, these basic epidemiological data are necessary to monitor trends of the disease burden as well as to inform design of other research in this condition, like genetic and environmental epidemiology to assess aetiology, qualitative studies to[doi.org]
  • Health care planning for chronic pelvic pain (CPP), an important cause of morbidity amongst women is hampered due to lack of clear collated summaries of its basic epidemiological data.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • While the exact pathophysiology is unknown, the pain states resultant from conditions such as interstitial cystitis and the like yield patients with a presentation that bears a striking similarity to neuropathic syndromes that are known to respond to[ncbi.nlm.nih.gov]
  • In the pathophysiology of CPP associated with endometriosis, ultrastructural changes can play a significant role.[ncbi.nlm.nih.gov]
  • Numerous studies have been conducted over the past two decades to define the pathophysiology and natural history of UCPPS and to examine the efficacy of therapies.[doi.org]

Prevention

  • In attempt to prevent this, several suspension methods during hysterectomy on benign indication are used as a prophylactic procedure.[ncbi.nlm.nih.gov]
  • Laxity in ligaments and/or vaginal membrane due to damaged connective tissue may prevent the normal opening and closure mechanism of urethra and anus, because muscles need finite lengths to contract properly.[ncbi.nlm.nih.gov]
  • Can chronic pelvic pain be prevented or avoided? Whether your chronic pelvic pain can be prevented or avoided depends on what is causing the pain. There are many different causes. Some of them can be prevented. Others cannot be prevented.[familydoctor.org]
  • Early surgical treatment involving the laparoscopic or laparotomic removal of the mass could prevent the usual prolonged suffering of these young women. In our opinion, this entity is a new variety of Müllerian anomaly.[ncbi.nlm.nih.gov]

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