Review| Volume 31, ISSUE 2, P48-52, February 2021

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Gynaecological causes of acute abdominal pain

Published:January 09, 2021DOI:


      Acute abdominal pain is common and accounts for 5–10% of all emergency department admissions. The extensive nature of the differentials can make the definitive diagnosis challenging, particularly in women of childbearing age. There is often a conundrum as to whether the emergency is of gynaecological or surgical origin: delay in diagnosis can result in significant morbidity and mortality. This article explores the history, examination and investigation of women presenting with acute abdominal pain. It considers common gynaecological causes, including those found in pregnancy.


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      Further reading

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        Abdominal pain as a cause of acute admission to hospital.
        J R Coll Surg Edinb. 1992; 37: 389-393
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      2. Gynaecological examinations: guidelines for specialist practice. Royal College of Obstetricians and Gynaecologists, 2002
      3. Knight M, Clarke B, Head C, et al. Saving lives, improving mothers' care: Lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2015-17.

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        Eur J Obstet Gynecol Reprod Biol. 2010; 150: 8-12
      4. Pelvic Inflammatory Disease Guideline. BASHH, 2019
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        Management of suspected ovarian masses in premenopausal women. Green-top guideline No. 62.
        RCOG/BSGE Joint Guideline, LondonNovember 2011
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        Chronic pelvic pain, initial management. Green-top guideline No. 41.
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